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Individual

DR. LANCE DEWEY WHALEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
116 S MAIN ST, SARDIS, MS 38666-1721
(662) 487-1605
(662) 487-9068
Mailing address
116 S MAIN ST, SARDIS, MS 38666-1721
(662) 487-1605
(662) 487-9068

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06684
MS

Other

Enumeration date
05/24/2006
Last updated
03/20/2014
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