Individual
DR. JUSTIN MATTHEW WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
935 WAYNE RD, SAVANNAH, TN 38372-1904
(731) 926-8190
(731) 926-8219
Mailing address
28 MARKET ST STE 128, SAINT SIMONS ISLAND, GA 31522-1512
(912) 506-3038
(912) 296-0561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53697
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q019151
—
TN
Enumeration date
05/08/2008
Last updated
07/31/2024
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