Individual
MRS. CARLENE KAMILAH WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
125 TOWNPARK DR NW STE 300, KENNESAW, GA 30144-5812
(662) 753-9678
(678) 348-7317
Mailing address
2515 HOLLINDALE LN NW, KENNESAW, GA 30152-7317
(678) 849-0329
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN161620
GA
Other
Enumeration date
10/22/2012
Last updated
11/18/2014
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