Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY DAVID WHATLEY, MD
Active Sole ProprietorJERRY DAVID WHATLEY, MD is a Addiction Medicine healthcare provider located in ARDMORE, Oklahoma. NPI 1780634816 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine · ARDMORE, OK
Registration Details
- NPI Number
- 1780634816
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2006 (20.279601330755 yrs)
- Last Updated
- Jan 7, 2011
- License
-
19096 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
509 GRAND AVEARDMORE, OK, 734014338Browse OK providers · Browse ZIP 73401
- Phone
- 5802233300
- Fax
- 5802233320
- Primary Specialty
-
Addiction Medicine
207QA0000X
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.