Allan Whitney, SUB IDC
Individual provider Active NPI Independent Duty Corpsman · Kings Bay, GA
NPI 1962834531 · NPPES record last updated Feb 25, 2025
Key facts
- NPI
- 1962834531
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Corpsman 1710I1002X
- Practice address
- 881 Uss James Madison Rd
Kings Bay, GA 31547-2531 - Phone
- (817) 648-9250
- NPI assigned
- Aug 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Yes |
Addresses
Primary practice location
881 Uss James Madison Rd
Kings Bay, GA 31547-2531
Mailing address
881 Uss James Madison Rd
Kings Bay, GA 31547-2531
Phone (912) 573-6548
Other providers in Kings Bay, GA
- Kristin Sthole
- Stephanie Denise Sulewski
- Andrea M Thaxton
- Gregory Lee Watford
- Andrew Thomas Wemlinger
- Richard Benjamin Wilhite
- Stacey Wilkins
- Ryan Matthew Woody
All providers in Kings Bay, GA · Independent Duty Corpsman in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.