Individual
ELAINE WHITFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3885 SAUTEE TRAIL, CONLEY, GA 30288-1353
(404) 316-0892
Mailing address
3885 SAUTEE TRAIL, CONLEY, GA 30288-1353
(404) 316-0892
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN077803
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4043160892
CELL PHONE NUMBER
GA
Enumeration date
08/19/2021
Last updated
08/19/2021
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