Dejuan Tarrell White

NPI 1174766356 - Internal Medicine - 207R00000X

NPI Details
NPI 1174766356
Gender Male
Enumeration Date 04/17/2009
Last Updated 05/20/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
1364 CLIFTON RD NE
ATLANTA GA, 30322-1059, US
Phone (404) 727-5658
Fax
Business Location
1364 CLIFTON RD NE
ATLANTA GA, 30322-1059, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 68020
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According to our database, Dejuan Tarrell White NPI is 1174766356, taxonomy code is 207R00000X and license number is 68020, license state is located at Georgia. Dejuan Tarrell White physically located at 1364 Clifton Rd Ne, Atlanta GA, 30322-1059. NPI Number Dejuan Tarrell White has the Individual type.

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1174766356 NPI number is provided on an as is basis without warranty of any kind. 1174766356 is maintained by the National Plan & Provider Enumeration System. The contents of Dejuan Tarrell White are for informational purposes only.