MEDICARE: DR. FRANKIE KIM WHITTINGTON M.D.

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
1	173000000X	Legal Medicine	13727	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51036120WHI	OTHER	AL	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1417974932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANKIE KIM WHITTINGTON M.D.

Provider Business Mailing Address
First Line	:	1758 PARK PL
Second Line	:	SUITE 201
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-1127
Country	:	US
Telephone Number	:	334-263-3630
Fax Number	:	334-263-3155

Provider Business Practice Location Address
First Line	:	1758 PARK PL
Second Line	:	SUITE 201
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-1127
Country	:	US
Telephone Number	:	334-263-3630
Fax Number	:	334-263-3155

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	07/08/2007

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