Individual
MRS. JENNIFER COOKE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1302 SOUTH BROAD STREET, SCOTTSBORO, AL 35768-2514
(256) 218-4080
(256) 218-3147
Mailing address
1302 SOUTH BROAD STREET, SCOTTSBORO, AL 35768-2514
(256) 218-4080
(256) 218-3147
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00026957
AL
Other
Enumeration date
07/10/2006
Last updated
11/03/2020
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