Most Relevant Information
Provider Data
| NPI Number: | 1003205626 |
| Provider Name: | DAVID H WHITESIDE FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 19241 |
Most Important Dates
| Enumeration Date: | 01/20/2015 |
| Last Updated: | 01/14/2021 |
Provider Practice Location
1330 BOILING SPRINGS RD
SUITE 2500
SPARTANBURG
SC
293034201
Practice Location Phone/Fax
| Phone: | 8645855433 |
| Fax: | 8645914053 |
Provider Mailing Location
PO BOX 743070
ATLANTA
GA
303743070
Provider Mailing Phone/Fax
| Phone: | 8645604304 |
| Fax: | 8645604413 |