Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORDAN STUART WHATLEY, M.D.
ActiveDR. JORDAN STUART WHATLEY, M.D. is a Pediatric Gastroenterology healthcare provider located in NORTH CHARLESTON, South Carolina. NPI 1194139337 is currently active in the NPPES registry. Verify at CMS.
Pediatric Gastroenterology · NORTH CHARLESTON, SC
Registration Details
- NPI Number
- 1194139337
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2014 (12.176977965726 yrs)
- Last Updated
- Sep 15, 2020
- Licenses
-
4301105294 (MI)A148950 (CA)84088 (SC)
Practice Information
- Address
-
2250 MALL DRNORTH CHARLESTON, SC, 294066563Browse SC providers · Browse ZIP 29406
- Phone
- 8438760444
- Fax
- 3102060203
- Primary Specialty
-
Pediatric Gastroenterology
2080P0206X
- Additional Specialty
- Pediatric Gastroenterology
- Additional Specialty
- Pediatric Gastroenterology
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.