Whitlock, Paul A.

Whitlock, Paul A. is an individual health care provider with primary practice located at 1000 N Veterans Blvd Suite B, Glennville GA 30427-8603. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Whitlock, Paul A. can be contacted via phone (912) 654-4599.

Contact Information

Primary practice address
1000 N Veterans Blvd Suite B Glennville GA 30427-8603
Phone: (912) 654-4599
Fax: (912) 644-5260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 012592 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X 012592 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 012592 Georgia

Profile Details

NPI number 1295975985
LBN Legal business name Whitlock, Paul A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2009
Last updated May 2nd, 2017 - about 8 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 1295975985 NPPES
Georgia MEDICAID 000053391F

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