Individual
COREYONNA DURAYNE WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5700 HILLANDALE DR STE 290, LITHONIA, GA 30058-4120
(678) 367-3212
Mailing address
3303 QUARTER HORSE LN, CONYERS, GA 30013-4400
(678) 830-6374
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
268388
GA
Other
Enumeration date
06/07/2022
Last updated
09/25/2023
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