Individual
DR. WILLIAM L WHATLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2487 DEMERE RD, SUITE 300, SAINT SIMONS ISLAND, GA 31522-5639
(912) 638-9302
Mailing address
2487 DEMERE RD, SUITE 300, SAINT SIMONS ISLAND, GA 31522-5639
(912) 638-9302
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10831
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00458807A
—
GA
Enumeration date
12/05/2006
Last updated
07/09/2007
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