NPI 1194377903
Jessy Eugene Warren Whittall
Practice location
- Address
- 4389 Beafort Rd, Havelock, NC 28532
- Phone
- (252) 466-0921
- Mailing address
- 4389 Beaufort Rd, Havelock, NC 28532
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1194377903
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Jul 2019
- Record last updated
- 11 Jul 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.