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Individual

MRS. BLAIR LEIGH WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1061 DOWDY RD, SUITE 100 AND 101, ATHENS, GA 30606-5700
(706) 621-7575
(706) 621-7557
Mailing address
1061 DOWDY RD, SUITE 100 AND 101, ATHENS, GA 30606-5700
(706) 621-7575
(706) 621-7557

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6428
GA

Other

Enumeration date
06/22/2012
Last updated
05/07/2013
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