Individual
ADAM WHITESIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5356 REYNOLDS ST, 201, SAVANNAH, GA 31405-6016
(912) 232-9700
(912) 232-9701
Mailing address
PO BOX 1345, SAVANNAH, GA 31402-1345
(912) 232-9700
(912) 232-9701
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
207P00000X
KY
207P00000X
Emergency Medicine Physician
Primary
070009
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2010
Last updated
10/28/2014
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