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1750649653
ZACHARY JORDAN WHITAKER
VIDALIA, GA
NPI
1750649653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 6460)
Enumeration Date
2012-04-27
Last Update Date
2021-05-15
Business Address
ZACHARY JORDAN WHITAKER PA
1 MEADOWS PKWY
VIDALIA, GA 30474-8759
Phone number: 912-535-5555
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Mailing Address
ZACHARY JORDAN WHITAKER PA
1056 C.V. MOSLEY BLVD
VIDALIA, GA 30474
Phone number:
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