Individual
GWEN HATLEY WHITING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN MS BC
Contact information
Practice address
1000 CHASTAIN RD NW, #5200 HOUSE #52, KENNESAW, GA 30144-5588
(770) 423-6644
(770) 499-3655
Mailing address
1481 BAILEY FARM DR SW, MARIETTA, GA 30064-5219
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RN 167681 CNS/PMH
GA
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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