Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1124599949 |
---|---|
Provider Name | Lindsey E Whitehurst |
First Address | Atlanta, GA 30342-1709 |
Second Address | Atlanta, GA 30342-1709 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2018 |
Last Update Date | 06/12/2018 |