-- TIQUELLA SHANTEL KING-WHITBY -- M.D.
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1366620957- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 685 ARLINGTON PL, MACON, GA, 312011772
- Phone
- (478) 292-2060
Specialties & Taxonomies
Physical Medicine & Rehabilitation
License: GA #058891
Physical Medicine & Rehabilitation
Primary License: GA #58891