Organization
M D WHITEST MEDICAL INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATHEW WAYNE WHITEST M D (PRESIDENT)
(404) 751-7207
Entity
Organization
Contact information
Practice address
401 N 15TH ST, CORDELE, GA 31015-2932
(404) 751-7207
Mailing address
401 N 15TH ST, CORDELE, GA 31015-2932
(404) 751-7207
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2016
Last updated
12/12/2016
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