| M D Whitest Medical Institute Inc | |
|
401 N 15th St Cordele GA 31015-2932 | |
| (404) 751-7207 | |
| Not Available |
| Full Name | M D Whitest Medical Institute Inc |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 401 N 15th St, Cordele, Georgia |
| Authorized Official Name and Position | Mathew Wayne Whitest (PRESIDENT) |
| Authorized Official Contact | 4047517207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M D Whitest Medical Institute Inc 401 N 15th St Cordele GA 31015-2932 Ph: (404) 751-7207 | M D Whitest Medical Institute Inc 401 N 15th St Cordele GA 31015-2932 Ph: (404) 751-7207 |
| NPI Number | 1093172652 |
|---|---|
| Provider Enumeration Date | 01/26/2016 |
| Last Update Date | 12/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093172652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
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