Individual
DEJUAN TARRELL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 727-5658
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
68020
GA
2084P0800X
Psychiatry Physician
Primary
68020
GA
Other
Enumeration date
04/17/2009
Last updated
05/20/2015
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