Individual
DR. PAUL KEITH WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
135 WILLOW LN, MCDONOUGH, GA 30253-6574
(678) 432-3093
Mailing address
525 CHAUCER WAY, STOCKBRIDGE, GA 30281-7919
(770) 558-0280
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002238
GA
Other
Enumeration date
09/12/2006
Last updated
04/17/2024
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