Individual
EVELYN WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4111
Mailing address
127 PALMER CT, EVANS, GA 30809-5129
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
27090
SC
367500000X
Certified Registered Nurse Anesthetist
RN272642
GA
Other
Enumeration date
02/09/2023
Last updated
03/15/2024
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