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Individual
CARLA P. WHITLOW
Active
Individual
CARLA P. WHITLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004477
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
954039434A
—
GA
01
—
954039434B
QUICK CARE MEDICAID NUMBER
GA
01
—
97WCJKN
QUICK CARE MEDICARE NUMBER
GA
Enumeration date
03/01/2006
Last updated
02/19/2010
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