Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 054361 | GA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 2014-01368 | NC |
NPI | 1124201298 |
---|---|
Provider Name | Dr. Sean Patrick Whalen |
First Address | Winston Salem, NC 27157-0001 |
Second Address | Nashville, TN 37232-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2007 |
Last Update Date | 23/09/2019 |