Individual
MISS ANDREA TERESE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5780 PEACHTREE DUNWOODY ROAD, SUITE 195, ATLANTA, GA 30342
(770) 544-2226
(770) 544-2221
Mailing address
4805 CHERRING DRIVE, ATLANTA, GA 30338
(770) 458-7582
(770) 544-2221
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
RN061046
GA
282N00000X
General Acute Care Hospital
RN061046
GA
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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