Individual
EMILY WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-1544
(843) 792-1414
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4417
SC
363AS0400X
Surgical Physician Assistant
4417
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5927PA
—
SC
Enumeration date
09/10/2018
Last updated
07/21/2025
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