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NPI Code Detail

MEDICARE: DR. WILLIAM AVERY WHELESS

MEDICARE: DR. WILLIAM AVERY WHELESS
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
1225100000XPhysical TherapistP18606NC

General Provider Information

NPI Number : 1497210934
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM AVERY WHELESS
Provider Business Mailing Address
First Line : 2812 WOODWIND CT
Second Line :
City : KANNAPOLIS
State : NC
Zip : 28081-6402
Country : US
Telephone Number : 704-785-6339
Fax Number :
Provider Business Practice Location Address
First Line : 13024 EASTFIELD RD # A600
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-6604
Country : US
Telephone Number : 980-288-5440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2019
Last Update Date : 03/12/2020

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Directions to “ DR. WILLIAM AVERY WHELESS ” Practice Location

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