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
Phone: (404) 255-2033
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689876872 | NPPES |
| Georgia | MEDICAID | 003123850 |
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