Individual
BROOKS A WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5671 PEACHTREE DUNWOODY RD STE 620, ATLANTA, GA 30342-5006
(678) 369-5454
(678) 369-5455
Mailing address
MANGED CARE DEPARTMENT NORTHSIDE HOSPITAL, 1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342
(404) 300-2476
(404) 250-8010
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
036903
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003118708A
—
GA
05
—
003118708B
—
GA
05
—
003118708C
—
GA
05
—
003118708D
—
GA
05
—
003118708E
—
GA
05
—
003118708F
—
GA
05
—
003118708G
—
GA
05
—
003118708H
—
GA
05
—
003118708I
—
GA
05
—
003118708J
—
GA
05
—
00543628A
—
GA
01
—
770000209
RR MCE
GA
Enumeration date
06/09/2006
Last updated
02/26/2021
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