Individual
DR. ELIZABETH G WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 COBB GALLERIA PKWY STE 205, ATLANTA, GA 30339-5919
(770) 850-0202
(770) 850-0022
Mailing address
3200 COBB GALLERIA PKWY STE 205, ATLANTA, GA 30339-5919
(770) 850-0202
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
041239
GA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
041239
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00868524B
—
GA
Enumeration date
08/12/2005
Last updated
04/11/2012
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