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Individual

RICHARD ALVIN WHITNEY SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APC

Contact information

Practice address
5109 HIGHWAY 278 NE STE D, COVINGTON, GA 30014-2608
(770) 787-2301
Mailing address
191 HENRY HIGGINS RD, JACKSON, GA 30233-3657
(678) 786-6362

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC009618
GA

Other

Enumeration date
03/27/2024
Last updated
03/27/2024
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