Individual
BRYAN WATKINS WHITFIELD VI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
980 SANDERS RD STE 100, CUMMING, GA 30041-5977
(770) 886-1074
(770) 205-4717
Mailing address
980 SANDERS RD STE 100, CUMMING, GA 30041-5977
(770) 886-1074
(770) 205-4717
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
87251
GA
208600000X
Surgery Physician
LL37087
SC
390200000X
Student in an Organized Health Care Education/Training Program
29636
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29636
FLORIDA BOARD OF MEDICINE
FL
01
—
LL37087
STATE OF SOUTH CAROLINA LIMITED LICENSE
SC
Enumeration date
08/27/2013
Last updated
12/07/2020
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