Provider Demographics
NPI:1639135536
Name:JANICE L. WHITLEY
Entity Type:Organization
Organization Name:JANICE L. WHITLEY
Other - Org Name:FIRST PRIORITY MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:L
Authorized Official - Last Name:WHITLEY
Authorized Official - Suffix:
Authorized Official - Credentials:COF,CFTS
Authorized Official - Phone:704-983-6770
Mailing Address - Street 1:105 MOSS SPRINGS RD
Mailing Address - Street 2:SUITE-A
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-5140
Mailing Address - Country:US
Mailing Address - Phone:704-983-6770
Mailing Address - Fax:704-983-6160
Practice Address - Street 1:105 MOSS SPRINGS RD
Practice Address - Street 2:SUITE-A
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-5140
Practice Address - Country:US
Practice Address - Phone:704-983-6770
Practice Address - Fax:704-983-6160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-21
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7795213Medicaid
NC5132230001Medicare NSC