Individual
COREY WHIGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
4520 CREEKSIDE CV, ATLANTA, GA 30349-3957
(251) 379-2233
(678) 519-1049
Mailing address
4520 CREEKSIDE CV, ATLANTA, GA 30349-3957
(251) 379-2233
(678) 519-1049
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004293
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191707573A
—
GA
Enumeration date
05/04/2007
Last updated
07/25/2008
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