Individual
ALLAN WHITNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUB IDC
Contact information
Practice address
881 USS JAMES MADISON RD, KINGS BAY, GA 31547-2531
(817) 648-9250
Mailing address
881 USS JAMES MADISON RD, KINGS BAY, GA 31547-2531
(912) 573-6548
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/06/2013
Last updated
02/25/2025
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