Organization
BALDWIN WOODS GYNECOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL N WHEATLEY MD (PRESIDENT)
(910) 642-3294
Entity
Organization
Contact information
Practice address
627 JEFFERSON STREET, WHITEVILLE, NC 28472-3707
(910) 642-3294
(910) 640-1110
Mailing address
627 JEFFERSON ST, WHITEVILLE, NC 28472-3707
(910) 642-3294
(910) 640-1110
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890107G
—
NC
Enumeration date
07/28/2006
Last updated
04/15/2010
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