Individual
DR. JESSICA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2670 COBB PKWY SE, SMYRNA, GA 30080-3014
(770) 955-7453
Mailing address
5733 VININGS RETREAT WAY SW, MABLETON, GA 30126-2575
(205) 238-4519
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH025574
GA
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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