Individual
DR. BRADLEY J. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
229 ATHENS ST, HARTWELL, GA 30643-1854
(706) 376-3957
(706) 376-1356
Mailing address
229 ATHENS ST, HARTWELL, GA 30643-1854
(706) 376-3957
(706) 376-1356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
066437
GA
207Q00000X
Family Medicine Physician
LL1181
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189684661A
—
GA
Enumeration date
06/20/2008
Last updated
10/02/2018
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