Individual
CARLA P. WHITLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4919 ATLANTA HWY, FLOWERY BRANCH, GA 30542-3328
(770) 965-9222
(770) 965-8811
Mailing address
601 S ENOTA DR NE, SUITE Q, GAINESVILLE, GA 30501-2400
(770) 219-8420
(770) 219-8440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004477
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
954039434A
—
GA
01
—
954039434B
QUICK CARE MEDICAID NUMBER
GA
01
—
97WCJKN
QUICK CARE MEDICARE NUMBER
GA
Enumeration date
03/01/2006
Last updated
02/19/2010
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