Individual
MRS. KELLY RAE PRATER WHITMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
394 S ALEXANDER CREEK RD, NEWNAN, GA 30263-4132
(678) 416-2472
(678) 423-5059
Mailing address
925 N POINT PKWY, STE 130, ALPHARETTA, GA 30005-5211
(770) 740-1860
(678) 347-2104
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3260
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000837449B
—
GA
01
—
323515
WELLCARE NUMBER
GA
01
—
3260
PT LICENSE NUMBER
GA
Enumeration date
10/15/2006
Last updated
12/13/2017
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