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Jim Whitley, BC-HIS

NPI 1063990331 · on the registry since 2018

Practice

Address
310 W Broome St
Lagrange, GA 30240
Phone
(706) 882-5597
Fax
(706) 882-1362

Registry record

Primary taxonomy
237700000X
237700000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-07-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia