Individual
ERIC WHITESIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4005 WETHERBURN WAY STE D101, PEACHTREE CORNERS, GA 30092-4663
(404) 716-5770
Mailing address
4005 WETHERBURN WAY STE D101, PEACHTREE CORNERS, GA 30092-4663
(404) 716-5770
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
174H00000X
Health Educator
—
—
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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