Individual
RACHEL V WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA, CST
Contact information
Practice address
1101 OCILLA RD, DOUGLAS, GA 31533-2262
(912) 384-1900
Mailing address
499 WHITE PINE HWY, NICHOLLS, GA 31554-3703
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
172433
GA
246ZS0410X
Surgical Technologist
172433
GA
246ZX2200X
Orthopedic Assistant
172433
GA
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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