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NPI Code Detail

MEDICARE: LAURA WHITNEY

MEDICARE: LAURA WHITNEY
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
1183500000XPharmacistRPH032510GA

General Provider Information

NPI Number : 1790378529
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA WHITNEY
Provider Business Mailing Address
First Line : 2580 SANDY PLAINS RD
Second Line :
City : MARIETTA
State : GA
Zip : 30066-5798
Country : US
Telephone Number : 404-536-5830
Fax Number :
Provider Business Practice Location Address
First Line : 2580 SANDY PLAINS RD
Second Line :
City : MARIETTA
State : GA
Zip : 30066-5798
Country : US
Telephone Number : 404-536-5830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2021
Last Update Date : 02/12/2021

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Directions to “ LAURA WHITNEY ” Practice Location

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