Individual
DEBORAH E WHITEHAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1400 NORTHSIDE FORSYTH DR, STE 250, CUMMING, GA 30041-7668
(770) 889-7118
(770) 844-7835
Mailing address
1400 NORTHSIDE FORSYTH DR, STE 250, CUMMING, GA 30041-7668
(770) 889-7118
(770) 844-7835
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001859
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000291B
—
GA
Enumeration date
11/29/2005
Last updated
02/02/2017
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