Wittstatt Alexandra Whitaker-Lea, MD
Neurological Surgery in Rome, GA. Individual provider (NPI-1).
NPI number1124414701
StatusActive
Last updated in NPPESSep 5, 2023
Details
- NPI
- 1124414701
- Entity type
- Individual (NPI-1)
- Name
- Wittstatt Alexandra Whitaker-Lea
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2015
- Certification date
- Sep 5, 2023
- Last updated
- Sep 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | 92724 | GA | Yes |
Practice location
15 John Maddox Dr NwRome, GA 30165-1413
Phone 706-368-8550 · Fax 706-236-7473
Mailing address
Po Box 12938C/O Clinic Management
Calhou, GA 30703
Phone 706-602-7800
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