Individual provider · Type 1 NPI

Grant Tyler Whittaker, MD

Gastroenterology Physician · Fernandina Beach, FL

NPI number 1073710992 Active

Practice location

1348 South 18th Street, Suite 100
Fernandina Beach, FL 32034-4755

Fax (904) 277-7054

Mailing address

4800 Belfort Rd
Jacksonville, FL 32256-6004

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XMD 30868 (AL)
Internal Medicine Physician 207R00000XME 105816 (FL)
Gastroenterology Physician Primary 207RG0100XME105816 (FL)

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

2 other providers at this address

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About NPI 1073710992

Grant Tyler Whittaker, MD's National Provider Identifier is 1073710992, issued on Jul 3, 2007. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Fernandina Beach, FL. The record was last updated on Aug 27, 2014.