Individual
MR. MOESHAE DEVON WHITTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PATIENT CARE TECH
Contact information
Practice address
2801 ALTAMA AVE APT 12, BRUNSWICK, GA 31520-4641
(912) 265-4370
Mailing address
2801 ALTAMA AVE APT 12, BRUNSWICK, GA 31520-4641
(912) 265-4370
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/27/2010
Last updated
01/29/2010
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