Individual
DR. JOHN FREDERICK WHALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18743
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12 60014
UNITED HEALTHCARE
NC
01
—
32550
MEDCOST
NC
01
—
4455597
AETNA
NC
01
—
86692
BCBS OF NC
NC
05
—
8986692
—
NC
Enumeration date
06/21/2005
Last updated
04/14/2011
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