Healthcare Provider Details

I. General information

NPI: 1720177082
Provider Name (Legal Business Name): JOHN PARROTT WHITTLE JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 SWEETBRIAR CIR
SAVANNAH GA
31406-2050
US

IV. Provider business mailing address

1220 SWEETBRIAR CIR
SAVANNAH GA
31406-2050
US

V. Phone/Fax

Practice location:
  • Phone: 912-657-6058
  • Fax: 912-257-4564
Mailing address:
  • Phone: 912-657-6058
  • Fax: 912-350-5697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number28097
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number061375
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: