Derek Whalen, PA-C
NPI #1215545934 in Waxhaw, North Carolina
Provider Information
- NPI Number
- 1215545934
- Entity Type
- Individual
- Name
- Derek Whalen, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Jul 20, 2020
- Last Updated
- Dec 5, 2024
Practice Location
- Address
- 1621 PROVIDENCE RD S STE 370
- City
- Waxhaw
- State
- North Carolina
- ZIP Code
- 28173-8331
- Phone
- (704) 520-7089
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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