Edward W Whitesides in Wilmington - Specialist

Edward W Whitesides - NPI 1033104344

Edward W Whitesides is a Specialist in Wilmington, North Carolina. Edward W Whitesides practices all healthcare services and medical treatments related to Specialist. The NPI Number for Edward W Whitesides is 1033104344. The last update date is 2023-12-05.

Edward W Whitesides's current location address is 1905 Glen Meade Rd, Wilmington, North Carolina. You can contact this provider via phone number 9107636251 and fax number 9107637408. The mailing address for Edward W Whitesides is 1905 Glen Meade Rd, Wilmington, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward W Whitesides
Address 1905 Glen Meade Rd, Wilmington, North Carolina
Phone Number 9107636251
Fax Number 9107637408
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1033104344
Provider Enumeration Date 2005-09-13
Last Updated Date 2023-12-05

Provider Mailing Address Detail

Address 1905 Glen Meade Rd
City Wilmington
State North Carolina (NC)
Post Code 284036024
Phone Number 9107636251
Fax Number 9107637408

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 36671
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
79-87180 NC --

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FAQs about Edward W Whitesides

What is the unique 10-digit identifier code assigned to Edward W Whitesides by the Centers for Medicare & Medicaid Services?

The Edward W Whitesides has been issued the NPI (National Provider Identifier) 1033104344 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Edward W Whitesides?

The Edward W Whitesides is situated at 1905 Glen Meade Rd, in the city of Wilmington, state of NC, with the zip code 284036024.

What is Edward W Whitesides's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Edward W Whitesides is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date did Edward W Whitesides receive its 1033104344 assignment from the Centers for Medicare & Medicaid Services?

The Edward W Whitesides was assigned its 1033104344 on 2005-09-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Edward W Whitesides most recently updated or revised?

The details related to Edward W Whitesides, including its address, specialty, and other relevant information, were last updated or revised on 2023-12-05.

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