Organization
WHITAKER NATIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MOORE (CFO)
(800) 242-6711
Entity
Organization
Contact information
Practice address
540 JETT DR, JACKSON, KY 41339
(606) 666-6000
Mailing address
PO BOX 936434, ATLANTA, GA 31193-6434
(800) 377-8721
(304) 697-1155
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/23/2016
Last updated
06/19/2018
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