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General NPI Number Information
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NPI Number | 1902248883
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Entity Type | Individual
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Provider Name | DR. WHITNEY ELLIS MCCONNELL
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Gender | Female
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Dates
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Enumeration Date | 07/22/2013
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 3226 HAMPTON AVE STE F
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City | BRUNSWICK
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State | GA
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Zip | 31520-4252
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Country | US
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Telephone | 912-629-7800
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Fax | 912-355-1414
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Provider Business Mailing Address
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Address Line | 4750 WATERS AVE STE 500
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City | SAVANNAH
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State | GA
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Zip | 31404-6261
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Country | US
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Telephone | 912-629-7800
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Fax | 912-355-1414
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | POD001330
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License Number State | GA
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