Individual
RAYMOND LYLE WHITFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1150 MOORES GROVE RD, WINTERVILLE, GA 30683-1516
(706) 742-8496
(706) 742-5383
Mailing address
1150 MOORES GROVE RD, WINTERVILLE, GA 30683-1516
(706) 742-8496
(706) 742-5383
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN070093
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000623224B
—
GA
Enumeration date
07/19/2006
Last updated
03/25/2021
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