Individual
KHANCHANA WHITLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1046 RIDGE AVE SW, ATLANTA, GA 30315-1640
(404) 564-6837
Mailing address
1046 RIDGE AVE SW, ATLANTA, GA 30315-1640
(404) 564-6837
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN198999
GA
Other
Enumeration date
08/13/2015
Last updated
01/12/2024
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