Individual
DR. MATTHEW KYLE WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5461 MERIDIAN MARKS RD STE 130, ATLANTA, GA 30342
(404) 255-2033
Mailing address
5461 MERIDIAN MARKS RD STE 130, ATLANTA, GA 30342-3009
(404) 255-2033
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
66673
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003123850
—
GA
Enumeration date
06/01/2007
Last updated
05/25/2018
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