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ANDREA L WHIDDON NP-C
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1508290966
Individual Registrant: ANDREA L WHIDDON NP-C
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1014 W FRANKLIN ST SYLVESTER, GA 31791-1978 US
Tel: 229-776-2965 Fax: 229-776-4452
Tel: 229-776-2965 Fax: 229-776-4452
Contact information for business:
1014 W FRANKLIN ST SYLVESTER, GA 31791-1978 US
Tel: 229-776-2965 Fax: 229-776-4452
Tel: 229-776-2965 Fax: 229-776-4452
Registration Information:
NPI: 1508290966
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | GA | RN171380 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
