Individual
JEREMY WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6325 HOSPITAL PKWY, JOHNS CREEK, GA 30097-5775
(678) 474-7100
Mailing address
6325 HOSPITAL PKWY, JOHNS CREEK, GA 30097-5775
(678) 474-7100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
7093
GA
Other
Enumeration date
04/08/2014
Last updated
02/08/2017
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