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Individual

BRANDIE MERRIE WHITENER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
409 E HAWTHORNE ST APT 8, DALTON, GA 30721-3148
(706) 218-0116
Mailing address
409 E HAWTHORNE ST APT 8, DALTON, GA 30721-3148
(706) 218-0116

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN090641
GA

Other

Enumeration date
08/14/2024
Last updated
08/14/2024
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