John Calvin Whitley in Augusta - Clinical
John Calvin Whitley - NPI 1184607483
John Calvin Whitley is a Clinical in Augusta, Georgia. John Calvin Whitley practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Calvin Whitley is 1184607483. The last update date is 2007-07-08.
John Calvin Whitley's current location address is 2828 Hillcreek Dr, Augusta, Georgia. You can contact this provider via phone number 7062285006 and fax number 7062281848. The mailing address for John Calvin Whitley is 2828 Hillcreek Dr, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Calvin Whitley |
|---|---|
| Address | 2828 Hillcreek Dr, Augusta, Georgia |
| Phone Number | 7062285006 |
| Fax Number | 7062281848 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1184607483 |
|---|---|
| Provider Enumeration Date | 2005-11-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2828 Hillcreek Dr |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309095628 |
| Phone Number | 7062285006 |
| Fax Number | 7062281848 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1922 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSO207 | SC | MEDICAID |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John Calvin Whitley by the Centers for Medicare & Medicaid Services?
The John Calvin Whitley has been issued the NPI (National Provider Identifier) 1184607483 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of John Calvin Whitley?
The John Calvin Whitley is physically situated at 2828 Hillcreek Dr, in the city of Augusta, state of GA, with the postal code 309095628.
What is John Calvin Whitley's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Calvin Whitley is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
When did John Calvin Whitley receive its 1184607483 assignment?
The John Calvin Whitley was assigned its 1184607483 on 2005-11-21, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to John Calvin Whitley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Calvin Whitley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.