Individual
MRS. AMY MICHELLE WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 OCILLA RD, DOUGLAS, GA 31533-2207
(912) 384-1900
Mailing address
306 WESTSIDE DR, DOUGLAS, GA 31533-3530
(912) 383-7826
(912) 383-7299
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN177303
GA
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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