Jonathan Stephen White, PA-C

NPI #1922169572 in Tullahoma, Tennessee

Provider Information

NPI Number: 1922169572
Entity Type: Individual
Name: Jonathan Stephen White, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 13, 2006
Last Updated: Aug 13, 2015

Practice Location

Address: 144 JACK FARRAR LN
City: Tullahoma
State: Tennessee
ZIP Code: 37388-2398
Phone: (931) 455-0120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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