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NPI Code Detail

MEDICARE: WHITNEY E CONNER APC

MEDICARE:   WHITNEY E CONNER  APC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorAPC006625GA

General Provider Information

NPI Number : 1023606738
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY E CONNER APC
Provider Business Mailing Address
First Line : 3207 CANARY CT
Second Line :
City : DECATUR
State : GA
Zip : 30032-3717
Country : US
Telephone Number : 678-779-1389
Fax Number :
Provider Business Practice Location Address
First Line : 143 NEW ST
Second Line :
City : DECATUR
State : GA
Zip : 30030-4131
Country : US
Telephone Number : 678-852-8560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2021
Last Update Date : 01/07/2021

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Directions to “ WHITNEY E CONNER APC” Practice Location

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