Individual
DR. JOHN JASON WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1443 ANTHONY RD, AUGUSTA, GA 30904-4725
(706) 733-4823
(706) 733-4856
Mailing address
1443 ANTHONY RD, AUGUSTA, GA 30904-4725
(706) 733-4823
(706) 733-4856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
052656
GA
207RN0300X
Nephrology Physician
052656
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000729341C
—
GA
05
—
G52656
—
SC
Enumeration date
09/07/2006
Last updated
06/14/2023
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