Individual
WHITNEY MARIE MIGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
727 WILDWOOD GLN, VILLA RICA, GA 30180-2428
(470) 651-2821
Mailing address
727 WILDWOOD GLN, VILLA RICA, GA 30180-2428
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0014222069
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00998966
—
GA
Enumeration date
09/03/2021
Last updated
09/03/2021
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