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Willie Roscoe Whitaker, MD
Nephrology Physician in Statesville, North Carolina
NPI 1861489759

Willie Roscoe Whitaker is a Nephrology Physician based in Statesville, NC and is specialized in Nephrology. Willie Roscoe Whitaker practices in Statesville, NC and has the professional credentials of MD. The NPI Number for Willie Roscoe Whitaker is 1861489759 and holds a License No. NC2003-00428 (North Carolina).

The current practice location address for Willie Roscoe Whitaker is 2117 Simonton Rd, Statesville, NC and can be reached out via phone at 704-872-8422 and via fax at 704-872-8705.

Location: 2117 Simonton Rd, Statesville, NC, 28625-8403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861489759
Provider Name
Willie Roscoe Whitaker
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2117 Simonton Rd, Statesville, NC, 28625-8403
Phone Number
704-872-8422
Fax Number
704-872-8705
Provider Enumeration Date
10/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C8620 01 NC MEDCOST
38354 01 NC PARTNERS' MEDICARE #
89134J6 05 NC
E73961 01 UPIN
134J6 01 NC BLUE CROSS BLUE SHIELD #
3324386 01 NC CIGNA HEALTHCARE PROVIDER
P00010140 01 NC RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2117 Simonton Rd
City
Statesville
State
North Carolina
Zip
28625-8403
Phone Number
704-872-8422
Fax Number
704-872-8705
person
Provider Business Mailing Address Details
Address
2117 Simonton Rd
City
Statesville
State
North Carolina
Zip
28625-8403
Phone Number
704-872-8422
Fax Number
704-872-8705
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
2003-00428 (North Carolina)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
NC2003-00428 (North Carolina)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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