Individual
MR. ROBERT WADE WHITE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2980 HIGHWAY 78 E, JASPER, AL 35501-8903
(205) 384-1941
(205) 384-6362
Mailing address
501 COONER RD, JASPER, AL 35503-6719
(205) 384-1424
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
105
AL
Other
Enumeration date
03/25/2006
Last updated
07/08/2007
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