Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 2021-03307 | NC |
N | 207V00000X | Obstetrician & Gynecologist | 35.079833 | OH |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 35 079833 | OH |
NPI | 1912926395 |
---|---|
Provider Name | Dr. James Leigh Whiteside |
First Address | Charlotte, NC 28275-1069 |
Second Address | Greenville, NC 27834-3736 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 09/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1010734 | (05) | VT |
2279056 | (05) | OH |
30204443 | (05) | NH |