Individual
MICHAEL BROUGHTEN WHITLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1109 MEDICAL CENTER DR STE 5, AUGUSTA, GA 30909-6639
(706) 863-6637
(706) 863-6638
Mailing address
1109 MEDICAL CENTER DR STE 5, AUGUSTA, GA 30909-6639
(706) 863-6637
(706) 863-6638
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL38334
SC
207RN0300X
Nephrology Physician
Primary
85172
GA
Other
Enumeration date
06/08/2015
Last updated
04/22/2020
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