Mcconnell, Whitney Ellis
Mcconnell, Whitney Ellis is an individual health care provider with primary practice located at 3226 Hampton Ave Ste F , Brunswick GA 31520-4252. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Mcconnell, Whitney Ellis can be contacted via phone (912) 629-7800.Contact Information
Primary practice address
3226 Hampton Ave Ste F
Brunswick GA 31520-4252
Phone: (912) 629-7800
Fax: (912) 355-1414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | POD001330 | Georgia |
Profile Details
| NPI number | 1902248883 |
|---|---|
| LBN Legal business name | Mcconnell, Whitney Ellis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2013 |
| Last updated | Sep 13th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902248883 | NPPES |
| Georgia | MEDICAID | 003190403B | |
| Georgia | MEDICAID | 003190403C | |
| Georgia | MEDICAID | 003190403D |
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