Individual
WHITNEY LYNN WHITLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1000
Mailing address
120 MULBERRY DR, SENOIA, GA 30276-1344
(770) 676-8528
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209822
GA
Other
Enumeration date
01/07/2025
Last updated
02/17/2025
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