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Individual

JAMES W WHEATLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
91 BRIDLEWOOD PL NE, CONCORD, NC 28025-9535
(704) 786-3841
Mailing address
91 BRIDLEWOOD PL NE, CONCORD, NC 28025-9535
(704) 786-3841

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
24310
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86724
BLUE CROSS BLUE SHIELD
NC
05
8986724
NC
Enumeration date
07/22/2005
Last updated
02/20/2012
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