Individual
NORMAN WHITELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 GRANT ST, EASLEY, SC 29640-2400
(732) 570-5001
Mailing address
303 GRANT ST, EASLEY, SC 29640-2400
(732) 570-5001
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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