Individual
EMMA J WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED NURSING AS
Contact information
Practice address
5092 LELAND DRIVE, STONE MTN, GA 30083
(770) 879-9472
Mailing address
PO BOX 93035, 5092 LELAND DRIVE, ATLANTA, GA 30377
(770) 879-9472
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0028865067
GA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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