Individual
DONALD R. WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
760 OAKRIDGE BLVD, LUMBERTON, NC 28358-2324
(910) 738-7857
(910) 739-3705
Mailing address
760 OAKRIDGE BLVD, LUMBERTON, NC 28358-2324
(910) 738-7857
(910) 739-3705
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9300371
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86704
BLUE CROSS BLUE SHIELD
NC
05
—
8986704
—
NC
Enumeration date
10/07/2005
Last updated
02/20/2008
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