Individual
DR. PAUL KING WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
165 N PARK TRL STE 100, STOCKBRIDGE, GA 30281-6509
(770) 506-1800
(770) 389-4461
Mailing address
165 N PARK TRL STE 100, STOCKBRIDGE, GA 30281-6509
(770) 506-1800
(770) 389-4461
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
066672
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003149249A
—
GA
Enumeration date
04/21/2010
Last updated
02/27/2015
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