Individual
CARLEY WHITLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 DEPOT ST, ELLIJAY, GA 30540-3778
(706) 276-4030
Mailing address
11 DEPOT ST, ELLIJAY, GA 30540-3778
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009672
GA
Other
Enumeration date
05/09/2018
Last updated
12/27/2018
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