Individual
LAUREN WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
765 FLORENCE RD, SAVANNAH, TN 38372-3451
(731) 925-2300
(731) 925-3506
Mailing address
28 MARKET ST STE 128, ST SIMONS ISLAND, GA 31522-1512
(912) 357-2022
(912) 296-0561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34920
SC
207Q00000X
Family Medicine Physician
Primary
53698
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q018241
—
TN
Enumeration date
06/07/2012
Last updated
08/02/2024
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