Search › Georgia › 104100000X
Matthew Whitis, LCSW, MAC
NPI 1245509827 · on the registry since 2011
Practice
- Address
- 6600 Van Aalst Blvd Bldg 9250
Fort Moore, GA 31905 - Phone
- (706) 545-5244
- Clinicians at this address
- 153
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia