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Dr. Edward Tucker Whitesides, MD
Student in an Organized Health Care Education/Training Program in Greenville, North Carolina
NPI 1962144063

Edward Tucker Whitesides is a Student in an Organized Health Care Education/Training Program based in Greenville, NC. Edward Tucker Whitesides practices in Greenville, NC and has the professional credentials of MD. The NPI Number for Edward Tucker Whitesides is 1962144063 and holds a License No. (North Carolina).

The current practice location address for Edward Tucker Whitesides is 2100 Stantonsburg Rd, Greenville, NC and can be reached out via phone at 252-744-2393 and via fax at 252-744-0013.

Location: 2100 Stantonsburg Rd, Greenville, NC, 27834-2818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962144063
Provider Name
Edward Tucker Whitesides
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2100 Stantonsburg Rd, Greenville, NC, 27834-2818
Phone Number
252-744-2393
Fax Number
252-744-0013
Provider Enumeration Date
04/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2100 Stantonsburg Rd
City
Greenville
State
North Carolina
Zip
27834-2818
Phone Number
252-744-2393
Fax Number
252-744-0013
person
Provider Business Mailing Address Details
Address
2100 Stantonsburg Rd
City
Greenville
State
North Carolina
Zip
27834-2818
Phone Number
252-744-2393
Fax Number
252-744-0013
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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