Provider Demographics
NPI:1275765893
Name:WHONIC, GAIL (BSPT)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:WHONIC
Suffix:
Gender:F
Credentials:BSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:585 N CHESTATEE ST
Mailing Address - Street 2:
Mailing Address - City:DAHLONEGA
Mailing Address - State:GA
Mailing Address - Zip Code:30533-0709
Mailing Address - Country:US
Mailing Address - Phone:706-864-6625
Mailing Address - Fax:
Practice Address - Street 1:1296 SIMS ST
Practice Address - Street 2:SUITE A
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3873
Practice Address - Country:US
Practice Address - Phone:770-297-1700
Practice Address - Fax:770-297-1702
Is Sole Proprietor?:No
Enumeration Date:2009-08-15
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT004708225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist