EDWARD GORDON WHEALTON

CHESAPEAKE, VA
NPI1568448397
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: VA  0101056451)
Enumeration Date2005-12-22
Last Update Date2011-06-23
Business Address
-- EDWARD GORDON WHEALTON MD
TRICARE PRIME CLINIC CHESAPEAKE 1011 EDEN WAY NORTH SUITE H
CHESAPEAKE, VA 23320
Phone number: 757-953-6366
Mailing Address
-- EDWARD GORDON WHEALTON MD
1011 EDEN WAY N SUITE H
CHESAPEAKE, VA 23320-2768
Phone number: 757-953-6366