Jack H Whitaker, MD Valid NPI
Individual provider · Cardiovascular Disease Physician · Greeneville, TN
- NPI
- 1922064047
- Type
- Individual (Type 1)
- Primary specialty
- Cardiovascular Disease Physician (Internal Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207RC0000X
- License number
- 20931 (TN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-04-26
- Last updated
- 2024-10-28
Practice location
1410 Tusculum Blvd.,, Suite 1500
Greeneville, TN 37745
(423) 638-2270