Whalio Doctors

NPI 1942668686

Care Solutions

Organisation Health Maintenance Organization Buford, GA

Practice location

Address
3407 Edenridge CT, Buford, GA 30519-7240
Phone
(870) 413-9890

Authorised official

Name
Jennifer Devon Bradley
Title
Nurse Practitioner
Phone
(870) 413-9890

Registered specialties

Health Maintenance Organization Primary
Managed Care Organizations Taxonomy 302R00000X Licence F1015056 (GA)

Registry record

NPI
1942668686
Entity type
Organization
NPI issued
9 Feb 2016
Record last updated
9 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.