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
Fax: (770) 622-9822
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467513812 NPPES
Georgia MEDICAID 00685297-B

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