Individual
MRS. CARRIE LEIGH WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6228 BRADLEY PARK DR. SUITE A, COLUMBUS, GA 31904
(706) 617-4031
Mailing address
6228 BRADLEY PARK DR, STE A, COLUMBUS, GA 31904-3605
(706) 322-1486
(706) 324-3419
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN 169401
GA
Other
Enumeration date
10/31/2016
Last updated
03/16/2017
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