| Doctor Name: | GWEN HATLEY WHITING |
| NPI Number: | 1750579876 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN MS BC |
| License Number: | RN 167681 CNS/PMH |
| Business Practice Address: | 1000 Chastain Rd Nw #5200 House #52 Kennesaw, GA - 301445588 |
| Business Phone Number: | 7704236644 |
| Business Fax Number: | 7704993655 |
| Mailing Address: | 1481 Bailey Farm Dr Sw, MARIETTA |
| State: | GA |
| Postal Code: | 300645219 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2007 |
| NPI Last Update Date: | 10/15/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | RN 167681 CNS/PMH |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |