Individual
MR. JAMES MICHAEL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
3278 MITHELL BLVD, BLDG. 900, MOODY AFB, GA 31699
(229) 257-8214
Mailing address
3278 MITCHELL BLVD, BLDG. 900, MOODY AFB, GA 31699-1500
(228) 257-8214
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/04/2009
Last updated
12/11/2014
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