Whitley, Matthew Kyle

Whitley, Matthew Kyle is an individual health care provider with primary practice located at 5461 Meridian Marks Rd Ste 130 , Atlanta GA 30342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as his primary health care specialty. Whitley, Matthew Kyle can be contacted via phone (404) 255-2033.

Contact Information

Primary practice address
5461 Meridian Marks Rd Ste 130 Atlanta GA 30342
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 66673 Georgia

Profile Details

NPI number 1689876872
LBN Legal business name Whitley, Matthew Kyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2007
Last updated May 25th, 2018 - about 6 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 1689876872 NPPES
Georgia MEDICAID 003123850

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