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Individual

WHITNEY BROOKE VANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1501 MILULI AVE, BAINBRIDGE, GA 39819-5700
(229) 243-0152
(229) 246-9945
Mailing address
1501 MILULI AVE, BAINBRIDGE, GA 39819-5700
(229) 243-0152
(229) 246-9945

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
005429
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003138484B
GA
01
076515
MEDICAL LICENSE
GA
Enumeration date
05/24/2012
Last updated
09/13/2017
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