Basic Information
Provider Information
NPI: 1871939926
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WEHBY
FirstName: JOSEPH
MiddleName: SAM
NamePrefix:  
NameSuffix: JR.
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 590 MANNING DR
Address2: DEPT OF FAMILY MEDICINE
City: CHAPEL HILL
State: NC
PostalCode: 275996119
CountryCode: US
TelephoneNumber: 9849740210
FaxNumber: 9199666126
Practice Location
Address1: 590 MANNING DR
Address2: DEPT OF FAMILY MEDICINE
City: CHAPEL HILL
State: NC
PostalCode: 275996119
CountryCode: US
TelephoneNumber: 9849740210
FaxNumber: 9199666126
Other Information
ProviderEnumerationDate: 05/16/2013
LastUpdateDate: 08/21/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/21/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X2016-01340NCN Allopathic & Osteopathic PhysiciansHospitalist 
207Q00000X2016-01340NCY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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