Search › Tennessee › 183500000X
Wallace Whitaker, D.PH
NPI 1447583844 · on the registry since 2009
Practice
- Address
- 112 Sunset Dr
Johnson City, TN 37604 - Phone
- (423) 283-0522
- Organisation at this address
- Kroger Limited Partnership I
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-12-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee