Individual
MRS. ALISA-ANN ADEL WHITEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
938 ELMA G MILES PKWY, HINESVILLE, GA 31313-4515
(912) 492-6331
Mailing address
938 ELMA G MILES PKWY, HINESVILLE, GA 31313-4515
(912) 492-6331
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
27833
GA
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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