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Contact Information

DEIDRA L WHALEN, OPA-C
1918 RANDOLPH RD
SUITE 700
CHARLOTTE, NC28207-1100
 Phone: 704-342-3544
 Fax: 704-370-6652
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DEIDRA L WHALEN · (Female)

NPI # 1134253586
Status Active
Credentials OPA-C
Entity Individual
Enumeration date 03/16/2007
Last updated 07/16/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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