Individual
DR. DEREK CASPER WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
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