Individual
ADDISON WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 CLIFTON RD NE, ATLANTA, GA 30322-4201
(404) 727-7980
Mailing address
1520 CLIFTON RD NE, ATLANTA, GA 30322-4201
(404) 727-7980
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN299860
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/22/2023
Last updated
02/20/2025
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