Whitley, Gwendolyn Ruth
Whitley, Gwendolyn Ruth is an individual health care provider with primary practice located at 257 Branchwood Cir Ne , Concord NC 28025-3103. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is her primary health care specialty. Whitley, Gwendolyn Ruth can be contacted via phone (704) 701-1007.Contact Information
Primary practice address
257 Branchwood Cir Ne
Concord NC 28025-3103
Phone: (704) 701-1007
Fax: (704) 262-3375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 46430 | Minnesota |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 175868 | Wisconsin |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 37585 | North Carolina |
Profile Details
| NPI number | 1679524193 |
|---|---|
| LBN Legal business name | Whitley, Gwendolyn Ruth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679524193 | NPPES |
| Minnesota | Other | 46430 | MN MEDICAL LICENSE |
| Minnesota | Other | 175868 | MN MEDICAL LICENSE |
| Minnesota | Other | 37685 | MN MEDICAL LICENSE |
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