Individual
COURTNEY WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 COLTSGATE RD, 101, CHARLOTTE, NC 28211-3799
(704) 365-3588
Mailing address
2700 COLTSGATE RD, 101, CHARLOTTE, NC 28211-3799
(704) 365-3588
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5006826
NC
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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