Documents

All provider documents across active credentialing files.

DocumentProviderTypeUploadedStatus
Whitfield_Alicia_License.pdfDr. Alicia Whitfield, MDMS Medical LicenseJun 12, 2026Verified
Whitfield_Alicia_DEA.pdfDr. Alicia Whitfield, MDDEA CertificateJun 12, 2026Verified
Caldwell_Renee_COI.pdfDr. Renee Caldwell, MDMalpractice COIMay 28, 2026Pending
Templeton_Marcus_App.pdfDr. Marcus Templeton, DOCredentialing ApplicationJun 18, 2026Verified
Robinson_Tamika_W9.pdfTamika Robinson, NPW-9Jun 10, 2026Verified
Mensah_Olivia_AddressAddendum.pdfDr. Olivia Mensah, MDAddress AddendumJun 19, 2026Pending