Individual
JOSEPH P WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ACADEMY STREET, GAINESVILLE, GA 30501
(770) 282-8820
Mailing address
4500 SAN PABLO RD S, PROVIDER ENROLLMENT, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRAINING
FL
2085R0202X
Diagnostic Radiology Physician
0101288032
VA
2085R0202X
Diagnostic Radiology Physician
Primary
077990
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003195111T
—
GA
Enumeration date
06/03/2011
Last updated
01/27/2026
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