Organization · Type 2 NPI
Larry J Whiten
Customized Equipment (DME) · Toccoa, GA
NPI number
1194909028
Active
Practice location
73 W Doyle St
Toccoa, GA 30577-1787
Fax (706) 282-0168
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 332BC3200X (GA) |
Customized Equipment (DME): Definition to come...
About NPI 1194909028
Larry J Whiten's National Provider Identifier is 1194909028, issued on Dec 27, 2007. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Toccoa, GA. The record was last updated on Jul 3, 2008.