Colay Anquanette White O.D.

NPI 1861795411 - Optometrist - 152W00000X

NPI Details
NPI 1861795411
Gender Female
Enumeration Date 12/20/2010
Last Updated 12/21/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2402 SOUTHLAKE MALL
MORROW GA, 30260-2334, US
Phone (770) 961-1001
Fax
Business Location
4002 NOBLE CREEK DR NW
ATLANTA GA, 30327-5127, US
Phone (404) 704-4232
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Georgia
License Number 002600
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According to our database, Dr. Colay Anquanette White O.D. NPI is 1861795411, taxonomy code is 152W00000X and license number is 002600, license state is located at Georgia. Colay Anquanette White O.D. physically located at 2402 Southlake Mall, Morrow GA, 30260-2334. NPI Number Colay Anquanette White O.D. has the Individual type.

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1861795411 NPI number is provided on an as is basis without warranty of any kind. 1861795411 is maintained by the National Plan & Provider Enumeration System. The contents of Colay Anquanette White O.D. are for informational purposes only.