Provider Demographics
NPI:1225315955
Name:SHINGLER, WHITNEY ANN (DIETICIAN)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:ANN
Last Name:SHINGLER
Suffix:
Gender:F
Credentials:DIETICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 LESTER RD
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30458-4764
Mailing Address - Country:US
Mailing Address - Phone:912-764-3037
Mailing Address - Fax:912-764-3829
Practice Address - Street 1:27 LESTER RD
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-4764
Practice Address - Country:US
Practice Address - Phone:912-764-3037
Practice Address - Fax:912-764-3829
Is Sole Proprietor?:No
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD003009133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered