DR. Grant Tyler Whittaker, M.D.
NPI #1073710992 in Fernandina Beach, Florida
Provider Information
- NPI Number
- 1073710992
- Entity Type
- Individual
- Name
- DR. Grant Tyler Whittaker, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine - Gastroenterology
- Credential
- M.D.
- Enumeration Date
- Jul 3, 2007
- Last Updated
- Aug 27, 2014
Practice Location
- Address
- 1348 SOUTH 18TH STREET
- Address 2
- SUITE 100
- City
- Fernandina Beach
- State
- Florida
- ZIP Code
- 32034-4755
- Phone
- (904) 261-0879
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Internal Medicine - Gastroenterology — Gastroenterology |
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