Basic Information
| Provider Information | |||||||||
| NPI: | 1366700833 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HADDIX | ||||||||
| FirstName: | WHITNEY | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1200 N ELM ST | ||||||||
| Address2: | CONE HEALTH PEDIATRIC TEACHING PROGRAM | ||||||||
| City: | GREENSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 274011004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3368328064 | ||||||||
| FaxNumber: | 3368327893 | ||||||||
| Practice Location | |||||||||
| Address1: | OFFICE OF PEDIATRIC EDUCATION | ||||||||
| Address2: | CB 7593 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275990001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199666669 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2012 | ||||||||
| LastUpdateDate: | 12/14/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | 182620 | NC | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 208000000X | 2015-00207 | NC | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.