Individual
OPAL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
245 PEACHTREE INDUSTRIAL BLVD, SUGAR HILL, GA 30518
(678) 541-0777
(678) 541-0780
Mailing address
245 PEACHTREE INDUSTRIAL BLVD, SUGAR HILL, GA 30518
(678) 541-0777
(678) 541-0780
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
RN142311
GA
Other
Enumeration date
09/08/2010
Last updated
08/19/2019
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