Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 031359 | GA |
NPI | 1588637227 |
---|---|
Provider Name | Alan B Whitehouse |
First Address | Evans, GA 30809-3000 |
Second Address | Evans, GA 30809-3000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 06/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00385349G | (05) | GA |
027267 | BLUE CROSS (01) | GA |
040005271 | MEDICARE RAILROAD (01) | GA |
157315300 | EMPLOYMENT STANDARD WORK (01) | |
2523073 | CIGNA (01) | |
4254669 | AETNA (01) | |
E19911 | (02) |