Individual
DALTON WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3337 WINN CLAY DR, WAYCROSS, GA 31501-7658
(912) 286-6157
Mailing address
3337 WINN CLAY DR, WAYCROSS, GA 31501-7658
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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