Individual
DR. ANTHONY RICARDO WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1815 OLD 41 HWY NW STE 370, KENNESAW, GA 30152-4429
(770) 575-3103
Mailing address
1815 OLD 41 HWY NW STE 370, KENNESAW, GA 30152-4429
(770) 575-3103
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007626
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
665387
UNITED HEALTHCARE
GA
01
—
9344506
PHCS
GA
Enumeration date
04/03/2007
Last updated
07/21/2022
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