Individual
JEROME VIRGIL WHITLOW II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6523 DILLARD RIDGE DR, CHARLOTTE, NC 28216-8845
(313) 850-4871
Mailing address
6523 DILLARD RIDGE DR, CHARLOTTE, NC 28216-8845
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
255082
NC
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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