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NPI Code Detail

MEDICARE: LAURA M WHITSON MSW

MEDICARE:   LAURA M WHITSON  MSW
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
1146D00000XPersonal Emergency Response Attendant
2101Y00000XCounselor

General Provider Information

NPI Number : 1538332051
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA M WHITSON MSW
Provider Business Mailing Address
First Line : PO BOX 9054
Second Line :
City : GRAY
State : TN
Zip : 37615-9054
Country : US
Telephone Number : 423-467-3600
Fax Number : 423-467-3644
Provider Business Practice Location Address
First Line : 2243 EDDIE WILLIAMS RD
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37601-2872
Country : US
Telephone Number : 423-928-5627
Fax Number : 423-467-3644
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2008
Last Update Date : 10/15/2012

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Directions to “ LAURA M WHITSON MSW” Practice Location

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