Individual
MS. KEENA MCNEASE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
437 W PARKER ST, BAXLEY, GA 31513-0605
(912) 705-0858
Mailing address
1770 KECIA WAY, WAYCROSS, GA 31503-9100
(912) 286-3140
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F12170456
GA
Other
Enumeration date
03/03/2019
Last updated
03/03/2019
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