Whatley B Fenlon


Address: 120 Martin Luther King Sr Heritage Trail, Suite 109, Stockbridge, GA 30281
Phone: 7705068187

Whatley B Fenlon (NPI# 1700950631, PAC ID# 3870539919) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1700950631
PAC ID by PECOS 3870539919
Professional Enrollment ID I20050629000714
Full Name Whatley B Fenlon
Address 120 Martin Luther King Sr Heritage Trail
Suite 109
Stockbridge
GA 30281
Phone Number 7705068187
Gender M
Credential CP
Graduation Year 1981
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
120 Martin Luther King Sr Heritage Trail, Suite 109, Stockbridge, GA 30281 7705068187

Organization Information

Office Location

Street Address 120 MARTIN LUTHER KING SR HERITAGE TRAIL
SUITE 109
City STOCKBRIDGE
State GA
Zip 30281

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Competitor

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City STOCKBRIDGE
Zip Code 30281
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty STOCKBRIDGE + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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