Individual
DR. DEREK CASPER WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-5741
(706) 721-8623
Mailing address
1120 15TH ST STE BI-1056, AUGUSTA, GA 30912-0004
(706) 721-8623
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101102607
VA
207X00000X
Orthopaedic Surgery Physician
Primary
67468
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67468
GEORGIA MEDICAL LICENSE
GA
Enumeration date
02/23/2006
Last updated
01/02/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us