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1730734211
SHEA TRYON WHITTAKER
RALEIGH, NC
NPI
1730734211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2019-08-02
Last Update Date
2019-08-02
Business Address
Mr. SHEA TRYON WHITTAKER
3000 NEW BERN AVE
RALEIGH, NC 27610-1231
Phone number: 919-350-8000
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Mailing Address
Mr. SHEA TRYON WHITTAKER
200 W WOODCROFT PKWY APT 37B
DURHAM, NC 27713-8082
Phone number: 919-996-8674
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