Provider Demographics
NPI:1215269873
Name:WITHERSPOON, JOSLYN NICOLE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:JOSLYN
Middle Name:NICOLE
Last Name:WITHERSPOON
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:80 JESSE HILL JR DR SE
Mailing Address - Street 2:# 26019
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-3031
Mailing Address - Country:US
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Practice Address - Street 1:2799 W. GRAND BOULEVARD
Practice Address - Street 2:HENRY FORD HOSPITAL
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2608
Practice Address - Country:US
Practice Address - Phone:313-916-1601
Practice Address - Fax:313-916-8843
Is Sole Proprietor?:No
Enumeration Date:2010-02-08
Last Update Date:2020-06-11
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Provider Licenses
StateLicense IDTaxonomies
MI43010883382083P0901X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine