Individual
JOY BERNICE WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
808 PROFESSIONAL BLVD, DALTON, GA 30720-2536
(706) 226-2621
(706) 281-2325
Mailing address
388 BEAVERDALE RD NE, DALTON, GA 30721-8015
(706) 259-5508
(706) 281-2325
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN018253NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005201654
—
GA
Enumeration date
04/12/2007
Last updated
07/09/2007
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