Whitaker Medical

NPI #1174833107 in Huntsville, Alabama

Provider Information

NPI Number: 1174833107
Entity Type: Organization
Organization Name: Whitaker Medical
Primary Specialty: Physician Assistant
Enumeration Date: Oct 8, 2010
Last Updated: Oct 8, 2010

Practice Location

Address: 525 MADISON ST SE
Address 2: SUITE 203
City: Huntsville
State: Alabama
ZIP Code: 35801-4268
Phone: (866) 830-9002

Authorized Official

Name: MS. MACKENZIE NICHOLS
Title: PHYSICIAN ASSISTANT
Phone: (575) 318-6833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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