Individual
RICHARD RALSTON WHITLOCK JR.
Active
Individual
RICHARD RALSTON WHITLOCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
020623
GA
207RC0000X
Cardiovascular Disease Physician
7340
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00179077D
—
GA
01
—
1585885-004
CIGNA
GA
01
—
4134155
AETNA PPO
—
01
—
595429
BCBS
GA
01
—
897824
AETNA HMO
—
05
—
G20623
—
SC
Enumeration date
07/26/2006
Last updated
02/28/2019
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