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Individual

ELIZABETH INEZ WHITFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPS

Contact information

Practice address
940 GA HIGHWAY 96 STE B, WARNER ROBINS, GA 31088-2586
(478) 988-1222
Mailing address
940 GA HIGHWAY 96 STE B, WARNER ROBINS, GA 31088-2586
(478) 988-1222

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1215934773
GA
Enumeration date
11/05/2018
Last updated
11/05/2018
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