Individual
WHITNEY YOLANDA HUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 CHRISTOPHER DR, HINESVILLE, GA 31313-5740
(912) 271-7446
Mailing address
401 CHRISTOPHER DR, HINESVILLE, GA 31313-5740
(912) 271-7446
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
1744P3200X
GA
335E00000X
Prosthetic/Orthotic Supplier
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1744P3200X
—
GA
Enumeration date
04/04/2017
Last updated
03/17/2018
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