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ANDREA L WHIDDON NP-C

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1508290966

Individual Registrant:
 ANDREA L WHIDDON NP-C
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

Contact information for business:
1014 W FRANKLIN ST  SYLVESTER, GA 31791-1978 US
Tel: 229-776-2965  Fax: 229-776-4452

Registration Information:
NPI: 1508290966
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GARN171380

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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