Provider Demographics
NPI:1134235740
Name:WHITNEY, CYNTHIA GAYLE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:GAYLE
Last Name:WHITNEY
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Gender:F
Credentials:MD, MPH
Other - Prefix:
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Mailing Address - Street 1:1600 CLIFTON RD NE
Mailing Address - Street 2:MAILSTOP C23
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-4018
Mailing Address - Country:US
Mailing Address - Phone:404-639-4747
Mailing Address - Fax:404-639-3970
Practice Address - Street 1:1670 CLAIRMONT RD
Practice Address - Street 2:ATLANTA VA MEDICAL CENTER
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-4004
Practice Address - Country:US
Practice Address - Phone:404-321-6111
Practice Address - Fax:404-728-7794
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA051753207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine