Doctor Name: | MS. SHARON MARIE WHITLEY |
NPI Number: | 1063711984 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT010164 |
Business Practice Address: | 114 Constitution Dr. Suite 800 Warner Robins, GA - 31088 |
Business Phone Number: | 4783336363 |
Business Fax Number: | |
Mailing Address: | 114 Constitution Dr., Suite 800 WARNER ROBINS |
State: | GA |
Postal Code: | 31088 |
Phone Number: | 4783336363 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2011 |
NPI Last Update Date: | 02/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | PT010164 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |