Whiteman, David Mark
Whiteman, David Mark is an sole proprietor health care provider with primary practice located at 3855 Pleasant Hill Rd Suite 370, Duluth GA 30096-1407. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Whiteman, David Mark can be contacted via phone (770) 622-9100.Contact Information
Primary practice address
3855 Pleasant Hill Rd Suite 370
Duluth GA 30096-1407
Phone: (770) 622-9100
Fax: (770) 622-9822
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 037728 | Georgia |
Profile Details
NPI number | 1467513812 |
---|---|
LBN Legal business name | Whiteman, David Mark |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 12th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1467513812 | NPPES |
Georgia | MEDICAID | 00685297-B |
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