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Organization

WHITE'S PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MENDY HARBOUR (BILLING MANAGER)
(706) 876-2179
Entity
Organization

Contact information

Practice address
1575 CHATTANOOGA AVE, SUITE 1, DALTON, GA 30720-2671
(706) 876-2131
Mailing address
1575 CHATTANOOGA AVE, SUITE 1, DALTON, GA 30720-2671
(706) 876-2131

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
022667
GA

Other

Enumeration date
11/01/2007
Last updated
11/01/2007
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