Individual
MADISON WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
670 W ACADEMY ST, RANDLEMAN, NC 27317-9748
(336) 498-8500
(336) 498-8522
Mailing address
670 W ACADEMY ST, RANDLEMAN, NC 27317-9748
(336) 498-8500
(336) 498-8522
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5023120
NC
Other
Enumeration date
02/18/2025
Last updated
10/15/2025
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