Individual
MRS. RACHEL LACEY WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4083 CLOUD SPRINGS RD, RINGGOLD, GA 30736-8411
(800) 805-6989
Mailing address
806 WINDY TRL, LA FAYETTE, GA 30728-2036
(423) 802-7140
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN057549
GA
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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