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NPI Code Detail

MEDICARE: DR. HEATHER E WHITSON M.D.

MEDICARE: DR. HEATHER E WHITSON M.D.
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
1207RG0300XGeriatric Medicine (Internal Medicine) PhysicianNC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
113601OTHERNCBCBS

General Provider Information

NPI Number : 1245299627
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER E WHITSON M.D.
Provider Business Mailing Address
First Line : 4101 N ROXBORO ST
Second Line :
City : DURHAM
State : NC
Zip : 27704-2121
Country : US
Telephone Number : 919-684-8111
Fax Number :
Provider Business Practice Location Address
First Line : 4101 N ROXBORO ST
Second Line :
City : DURHAM
State : NC
Zip : 27704-2121
Country : US
Telephone Number : 919-684-8111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 07/08/2007

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