Individual provider · Type 1 NPI

Shea Tryon Whittaker

Surgical Physician Assistant · Raleigh, NC

NPI number 1730734211 Active

Practice location

3000 New Bern Ave
Raleigh, NC 27610-1231

Call (919) 350-8000 Map

Mailing address

200 W Woodcroft Pkwy Apt 37B
Durham, NC 27713-8082

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1730734211

Shea Tryon Whittaker's National Provider Identifier is 1730734211, issued on Aug 2, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Raleigh, NC. The record was last updated on Aug 2, 2019.