Individual
NATHANIEL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 N ROBERTS RD NW, KENNESAW, GA 30144-3634
(770) 686-7617
Mailing address
2929 OLD POST RD UNIT 911, WINSTON, GA 30187-2436
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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