Individual
MS. DENISE RENE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1434 BROADRICK DR, DALTON, GA 30720-3009
(706) 278-5961
(706) 529-9302
Mailing address
1434 BROADRICK DR, DALTON, GA 30720-3009
(706) 529-9301
(706) 529-9302
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5981
GA
Other
Enumeration date
10/15/2010
Last updated
08/02/2022
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