Individual
TERRELL WHIBBEY WHIBBEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
88 AVERA LN, BYRON, GA 31009
(478) 294-0854
Mailing address
88 AVERA LN, BYRON, GA 31008-5200
(478) 294-0854
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0014193642
GA
Other
Enumeration date
08/03/2017
Last updated
07/21/2022
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