Individual
MR. KENNETH JULIUS WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSPH
Contact information
Practice address
4269 ROSWELL RD, MARIETTA, GA 30062-6488
(770) 977-1865
(770) 977-6729
Mailing address
4269 ROSWELL RD, MARIETTA, GA 30062-6488
(770) 977-1865
(770) 977-6729
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10101
GA
Other
Enumeration date
02/27/2010
Last updated
02/27/2010
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