Individual
DR. ELAINE WHITNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1400 BUFORD HWY, BLDG N, SUGAR HILL, GA 30518-8721
(770) 945-2015
(770) 932-8397
Mailing address
1400 BUFORD HWY, BLDG N, SUGAR HILL, GA 30518-8721
(770) 945-2015
(770) 932-8397
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10750
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
734823
UNITED CONCORDIA
GA
Enumeration date
02/28/2007
Last updated
07/08/2007
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