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1093301855
KELLIE WHITENER
STATESBORO, GA
NPI
1093301855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN213296)
Enumeration Date
2020-12-16
Last Update Date
2020-12-16
Business Address
KELLIE WHITENER
23702 HWY 80 E
STATESBORO, GA 30461-0845
Phone number: 912-489-4090
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Mailing Address
KELLIE WHITENER
23702 HWY 80 E
STATESBORO, GA 30461-0845
Phone number: 912-489-4090
Copy
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