Provider Demographics
NPI:1841248473
Name:WHELAN, JOSEPH GIBSON III (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:GIBSON
Last Name:WHELAN
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:1524 E MOREHEAD ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207-1606
Mailing Address - Country:US
Mailing Address - Phone:704-343-3400
Mailing Address - Fax:704-343-3428
Practice Address - Street 1:1524 E MOREHEAD ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1606
Practice Address - Country:US
Practice Address - Phone:704-343-3400
Practice Address - Fax:704-343-3428
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200400176207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC200001194595OtherPHYS PRIVILEGE LICENSE
NC200400176OtherMEDICAL BOARD LICENSE
NCF87751Medicare UPIN