Individual
WADE D WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1150 HAMMOND DR STE 300, ATLANTA, GA 30328-8613
(770) 730-8341
Mailing address
1150 HAMMOND DR STE 300, ATLANTA, GA 30328-8613
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004728
GA
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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