Individual
COURTNEY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1406 BELLEVUE RD, DUBLIN, GA 31021-2956
(478) 272-2100
Mailing address
112 MARIE DR, COCHRAN, GA 31014-8444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014679
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT014679
PT LICENSE NUMBER
—
Enumeration date
06/26/2020
Last updated
06/26/2020
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