Individual
GREGORY SHAWN WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
200 MEDICAL CENTER DRIVE, FORT PAYNE, AL 35968-3458
(256) 997-2305
(256) 997-2507
Mailing address
1880 COUNTY ROAD 473, DUTTON, AL 35744
(256) 657-1249
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1083210
AL
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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