Individual
MADELINE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAAA
Contact information
Practice address
550 PEACHTREE ST, ATLANTA, GA 30365
(404) 778-4852
Mailing address
1480 HIGHWAY 11 N, SOCIAL CIRCLE, GA 30025-4927
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
003009
GA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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