Individual
DEBORAH WHITBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 BACONSFIELD DR STE 109, MACON, GA 31211-2987
(478) 256-1357
Mailing address
267 PRINCESS ANNE DR, MACON, GA 31211-7017
(478) 256-1357
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO096898
GA
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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