Individual
DR. EMILY JOLYNDA WHITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9237 GREENSBORO CT, BRENTWOOD, TN 37027-7438
(850) 292-7062
Mailing address
9237 GREENSBORO CT, BRENTWOOD, TN 37027-7438
(850) 292-7062
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OD0000003066
TN
152W00000X
Optometrist
Primary
OPC4184
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11658031
CAQH
—
01
—
36010
BCBS OF FLORIDA
FL
01
—
9551077
AETNA
—
01
—
AE784Z
MEDICARE
FL
Enumeration date
08/20/2006
Last updated
09/24/2013
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