Dr Daniel Jordan Whitaker, MD | |
Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 | |
(910) 907-8922 | |
(910) 907-6099 |
Full Name | Dr Daniel Jordan Whitaker |
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Gender | Male |
Speciality | Family Medicine |
Location | Womack Army Medical Center, 2817 Reilly Road, Fort Bragg, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1851959951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 2022-03215 (North Carolina) | Primary |
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20100512000495 |
Entity Name | North Carolina Group Services, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629415914 PECOS PAC ID: 4789827254 Enrollment ID: O20130830000807 |
Mailing Address | Practice Location Address |
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Dr Daniel Jordan Whitaker, MD Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 Ph: (910) 907-8922 | Dr Daniel Jordan Whitaker, MD Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 Ph: (910) 907-8922 |
Dr. Sean K Lee, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Clark Health Clinic, Fort Bragg, NC 28310 Phone: 910-907-2575 | |
Mr. Matthew Andrew Bubnis, DO, DPT Family Medicine Medicare: Medicare Enrolled Practice Location: 2817 Reilly St, Fort Bragg, NC 28310 Phone: 910-907-8500 | |
Dr. Rita Pazral Munson, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: Reilly Rd Bldg 4-2817, Fort Bragg, NC 28310 Phone: 910-907-6451 Fax: 910-907-8630 | |
Dr. Paul Donald Coleman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Womack Army Medical Ctr, Fort Bragg, NC 28310 Phone: 910-615-3000 | |
Dr. John James Lammie, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Womack Army Medical Center, Fort Bragg, NC 28310 Phone: 910-907-6000 | |
Dr. Clint J Moore, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2817 Reilly St, Womack Army Medical Center, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Craig Hamilton Barstow, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Womack Army Medical Center; Fmrc, Bldg 4-2817, Fort Bragg, NC 28310 Phone: 910-907-8007 |