Individual
MS. GENA CHURCH WHITTINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
405 HAWKS NEST TRL, PURLEAR, NC 28665-9354
(336) 909-5884
Mailing address
405 HAWKS NEST TRL, PURLEAR, NC 28665-9354
(336) 909-5884
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2348
NC
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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