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NPI Code Detail

MEDICARE: THOMAS SLADE WHITTLE JR. MD

MEDICARE: THOMAS SLADE WHITTLE JR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician0101029798VA

General Provider Information

NPI Number : 1508869132
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS SLADE WHITTLE JR. MD
Provider Business Mailing Address
First Line : PO BOX 6446
Second Line :
City : CHRISTIANSBURG
State : VA
Zip : 24068-6446
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 HOSPITAL DR
Second Line :
City : GALAX
State : VA
Zip : 24333-2227
Country : US
Telephone Number : 276-236-1690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 08/20/2007

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Directions to “ THOMAS SLADE WHITTLE JR. MD” Practice Location

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