Organization
WHITLEY MEDICAL SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE WHITLEY PA-C (OWNER/PROVIDER)
(615) 306-8849
Entity
Organization
Contact information
Practice address
143 VETERANS PKWY, MURFREESBORO, TN 37128-6434
(615) 904-6033
Mailing address
1721 CARBON COPY CT, MURFREESBORO, TN 37130-6689
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1195
TN
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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