Healthcare Provider Details

I. General information

NPI: 1750290540
Provider Name (Legal Business Name): WHITNEY NUNEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WHITNEY WILLIAMS

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5820 VETERANS PKWY STE 210
COLUMBUS GA
31904-3465
US

IV. Provider business mailing address

8454 MAGRATH ST
FORT BENNING GA
31905-1968
US

V. Phone/Fax

Practice location:
  • Phone: 706-641-7313
  • Fax:
Mailing address:
  • Phone: 321-432-7651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberPCET004659
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: