Individual
XENA ANTOINETTE WHITTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 CHURCH ST NE, MARIETTA, GA 30060-7220
(770) 420-1690
(770) 420-1661
Mailing address
700 CHURCH ST NE, MARIETTA, GA 30060-7220
(770) 420-1690
(770) 420-1661
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
074620
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00986895
—
MS
05
—
1958221
—
LA
Enumeration date
06/18/2009
Last updated
09/26/2019
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