Individual
MICHELL WHITBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
750 BACONSFIELD DR, STE 109, MACON, GA 31211-1491
(478) 447-0985
Mailing address
750 BACONSFIELD DR, STE 109, MACON, GA 31211-1491
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO092727
GA
Other
Enumeration date
03/22/2015
Last updated
03/23/2015
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