Whatley, Diana

Whatley, Diana is an individual health care provider with primary practice located at 1496 Winder Hwy Ste 100 , Jefferson GA 30549-5468. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Whatley, Diana can be contacted via phone (770) 848-5400.

Contact Information

Primary practice address
1496 Winder Hwy Ste 100 Jefferson GA 30549-5468
Fax: (770) 848-5424
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN208073 Georgia

Profile Details

NPI number 1982181152
LBN Legal business name Whatley, Diana
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2018
Last updated Jul 11th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982181152 NPPES
Georgia Other 1851449127 MEDICARE AND PRIVATE INSURANCE (OFFICE DOESN'T ACCEPT MEDICAID)

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