Individual
DR. JANISE HARTZOG WHITESELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2060 DAN PROCTOR DR, SUITE 2100, SAINT MARYS, GA 31558-3894
(912) 882-6767
(912) 882-6411
Mailing address
2060 DAN PROCTOR DR, SUITE 2100, SAINT MARYS, GA 31558-3894
(912) 882-6767
(912) 882-6411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
047867
GA
Other
Enumeration date
08/03/2005
Last updated
08/18/2014
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