Individual
SUSAN WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
275 COLLIER RD NW, 100C, ATLANTA, GA 30309-1709
(404) 355-0320
(404) 351-0909
Mailing address
275 COLLIER RD NW, 100C, ATLANTA, GA 30309-1709
(404) 355-0320
(404) 351-0909
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN061514
GA
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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