Individual
DR. PAUL AUSTIN WHITLOCK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1044 BERMUDA RUN, STATESBORO, GA 30458-0858
(912) 871-4847
(912) 871-5562
Mailing address
1044 BERMUDA RUN, STATESBORO, GA 30458-0858
(912) 871-4847
(912) 871-5562
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
057704
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411739414D
—
GA
Enumeration date
05/16/2006
Last updated
10/21/2019
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