Individual
PENNEY P WHITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
287 OLD REED CREEK RD, HARTWELL, GA 30643
(706) 376-2946
Mailing address
287 OLD REED CREEK RD, HARTWELL, GA 30643
(706) 376-2946
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN037855
GA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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