Individual
ELYSSA WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
5353 REYNOLDS ST, SAVANNAH, GA 31405-6015
(912) 819-6000
Mailing address
3204 CEDAR ST, THUNDERBOLT, GA 31404-5304
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
10037
GA
Other
Enumeration date
10/01/2020
Last updated
10/04/2022
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