Individual
ALAN B WHITEHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
031359
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00385349G
—
GA
01
—
027267
BLUE CROSS
GA
01
—
040005271
MEDICARE RAILROAD
GA
01
—
157315300
EMPLOYMENT STANDARD WORK
—
01
—
2523073
CIGNA
—
01
—
4254669
AETNA
—
Enumeration date
02/13/2006
Last updated
01/06/2010
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