Individual
SUSAN J WHITEHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 THORNOAK DR, MARTIN, TN 38237-1415
(731) 587-6743
(731) 587-6743
Mailing address
130 THORNOAK DR, MARTIN, TN 38237-1415
(731) 225-4017
(731) 227-6050
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7529
TN
Other
Enumeration date
08/29/2005
Last updated
06/29/2023
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