Marie L White, PA-C

NPI #1710138680 in Jackson, Georgia

Provider Information

NPI Number: 1710138680
Entity Type: Individual
Name: Marie L White, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 9, 2008
Last Updated: Feb 3, 2009

Practice Location

Address: 1502 W 3RD ST
City: Jackson
State: Georgia
ZIP Code: 30233-1979
Phone: (678) 774-0430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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