Provider Demographics
NPI:1922383223
Name:WHITMOORE, SARAH WHITNEY (LM)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:WHITNEY
Last Name:WHITMOORE
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3132 FOREST GROVE TRL NW
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-6686
Mailing Address - Country:US
Mailing Address - Phone:678-613-6348
Mailing Address - Fax:
Practice Address - Street 1:3132 FOREST GROVE TRL NW
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101
Practice Address - Country:US
Practice Address - Phone:678-613-6348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-18
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay