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Individual

MECHELLE HOWARD WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.H.

Contact information

Practice address
155 COLLEGE ST, SUITE 2, MACON, GA 31201-7206
(478) 741-3688
(478) 741-0912
Mailing address
103 RIVER VALLEY TRL, KATHLEEN, GA 31047-2139
(478) 218-2219

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
008899
GA

Other

Enumeration date
05/30/2007
Last updated
07/08/2007
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