Provider Demographics
NPI:1518159664
Name:WHATLEY, ADAM NELSON (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:NELSON
Last Name:WHATLEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8080 BLUEBONNET BLVD STE 1000
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-7827
Mailing Address - Country:US
Mailing Address - Phone:225-924-2424
Mailing Address - Fax:225-408-7980
Practice Address - Street 1:4920 CHURCH STREET
Practice Address - Street 2:SUITE E
Practice Address - City:ZACHARY
Practice Address - State:LA
Practice Address - Zip Code:70791
Practice Address - Country:US
Practice Address - Phone:225-658-1808
Practice Address - Fax:225-658-5922
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2024-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA200844207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery