Whitlock, Paul Austin
Whitlock, Paul Austin is an individual health care provider with primary practice located at 1044 Bermuda Run , Statesboro GA 30458-0858. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Whitlock, Paul Austin can be contacted via phone (912) 871-4847.Contact Information
Primary practice address
1044 Bermuda Run
Statesboro GA 30458-0858
Phone: (912) 871-4847
Fax: (912) 871-5562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 057704 | Georgia |
Profile Details
| NPI number | 1649222035 |
|---|---|
| LBN Legal business name | Whitlock, Paul Austin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Oct 21st, 2019 - about 7 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 | 1649222035 | NPPES |
| Georgia | MEDICAID | 411739414D |
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