Individual
JAMES ALLEN WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2605 FOREST HILLS RD SW, WILSON, NC 27893-4448
(252) 243-7161
(252) 243-7242
Mailing address
PO BOX 3209, WILSON, NC 27895-3209
(252) 243-7161
(252) 243-7242
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
16043
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86921
BLUE CROSS BLUE SHIELD
NC
05
—
8986921
—
NC
Enumeration date
05/13/2006
Last updated
01/23/2008
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