Individual
DIANA WHATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1496 WINDER HWY STE 100, JEFFERSON, GA 30549-5468
(770) 848-5400
(770) 848-5424
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8430
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN208073
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851449127
MEDICARE AND PRIVATE INSURANCE (OFFICE DOESN'T ACCEPT MEDICAID)
GA
Enumeration date
07/20/2018
Last updated
07/11/2023
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