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1487610713

NPI Code Detail

MEDICARE: DR. ANTHONY HALLOCK WHEELER M.D.

MEDICARE: DR. ANTHONY HALLOCK WHEELER 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
1	2084N0400X	Neurology Physician	28819	NC
2	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician	28819	NC
3	208D00000X	General Practice Physician	28819	NC
4	208VP0000X	Pain Medicine Physician	28819	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487610713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY HALLOCK WHEELER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 602148
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-2148
Country	:	US
Telephone Number	:	828-286-9036
Fax Number	:	828-286-1079

Provider Business Practice Location Address
First Line	:	507 N LINDSAY ST
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27262-4303
Country	:	US
Telephone Number	:	336-883-0029
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	03/14/2025

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Directions to “ DR. ANTHONY HALLOCK WHEELER M.D.” Practice Location

Language	Start Address	Practice Location

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