Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 2014-02011 | NC |
Y | 111NI0900X | Internist | 2014-02011 | NC |
N | 207R00000X | Internist | 54695 | GA |
N | 111NI0900X | Internist | 54695 | GA |
N | 208D00000X | General Practice Physician | 54695 | GA |
NPI | 1043481773 |
---|---|
Provider Name | Ursula P Whalen |
First Address | Nashville, TN 37232-0001 |
Second Address | Winston Salem, NC 27157-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2008 |
Last Update Date | 12/02/2020 |