Provider Demographics
NPI:1598809949
Name:WHELAN, DEBRA LYNN TOLLEY (RN MSNCNM)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:LYNN TOLLEY
Last Name:WHELAN
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Gender:F
Credentials:RN MSNCNM
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Mailing Address - Street 1:635 GOLDENWOOD CT
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-6406
Mailing Address - Country:US
Mailing Address - Phone:770-425-3605
Mailing Address - Fax:
Practice Address - Street 1:3696 LARGENT WAY NW STE 400
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-5922
Practice Address - Country:US
Practice Address - Phone:770-795-0850
Practice Address - Fax:770-429-0446
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GAR59280367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife