Individual
MR. DAVID ANTHONY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
750 TOWNPARK LN NW, KAISER PERMANENTE TOWN PARK MEDICAL CENTER, KENNESAW, GA 30144-5579
(678) 957-3040
(678) 957-3047
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
(678) 957-3047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005699
GA
363A00000X
Physician Assistant
PA9103659
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148821379A
—
GA
Enumeration date
05/19/2006
Last updated
01/10/2022
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