Individual
DR. MICHELLE ANNE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
2062 WHISKEY RD, AIKEN, SC 29803-6183
(803) 648-2339
Mailing address
4483 WOODBERRY CT, EVANS, GA 30809-4458
(706) 871-5471
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22359
SC
363LF0000X
Family Nurse Practitioner
227716
GA
Other
Enumeration date
10/08/2018
Last updated
11/22/2018
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