Individual
MARY KATHERINE THRASH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 MOUNTAIN BROOK DR, CANTON, GA 30115-9045
(678) 880-9654
Mailing address
9 COLLIER LN NW, ATLANTA, GA 30305-3901
(404) 355-1074
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
146770
GA
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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