Individual
DR. JEREMY JASON WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO/PHD
Contact information
Practice address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(770) 874-6873
(678) 235-6758
Mailing address
170 BLUE LEAF DR, CHRISTIANSBURG, VA 24073-3887
(786) 351-5729
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0102207033
VA
207P00000X
Emergency Medicine Physician
069461
GA
207P00000X
Emergency Medicine Physician
DO.1547
AL
207P00000X
Emergency Medicine Physician
Primary
DO2305
NV
207P00000X
Emergency Medicine Physician
DO2305
OK
207P00000X
Emergency Medicine Physician
OS11193
FL
Other
Enumeration date
09/19/2011
Last updated
12/08/2022
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