DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GRANT TYLER WHITTAKER, M.D.

Active

DR. GRANT TYLER WHITTAKER, M.D. is a Gastroenterology healthcare provider located in FERNANDINA BEACH, Florida. NPI 1073710992 is currently active in the NPPES registry. Verify at CMS.

Gastroenterology · FERNANDINA BEACH, FL

Registration Details

NPI Number
1073710992
Provider Type
Individual
Gender
Male
NPI Issued
Jul 3, 2007 (19.143309210427 yrs)
Last Updated
Aug 27, 2014
Licenses
MD 30868 (AL)
ME 105816 (FL)
ME105816 (FL)

Practice Information

Address
1348 SOUTH 18TH STREET
SUITE 100
FERNANDINA BEACH, FL, 320344755
Browse FL providers · Browse ZIP 32034
Phone
9042610879
Fax
9042777054
Primary Specialty
Gastroenterology
207RG0100X
Additional Specialty
Internal Medicine
Additional Specialty
Gastroenterology

Other Gastroenterology Providers in FERNANDINA BEACH, FL

Name Credential NPI
DR. WILLIAM FLETCHER DREWRY JR. MD 1003812389
DR. HARVEY GENE PHILLIPS JR. MD 1134228893
MARY BARBARA MD 1497195614
BLAKE THOMPSON 1134624687
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.