Individual
CLINTON M WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6920 JIMMY CARTER BLVD, STE. 100, NORCROSS, GA 30071-1277
(770) 449-0990
(770) 448-8818
Mailing address
PO BOX 769609, ROSWELL, GA 30076-8224
(770) 449-0990
(770) 448-8818
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002073
GA
Other
Enumeration date
06/10/2006
Last updated
07/08/2007
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