Individual
HANNAH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
236 MARYLAND DR, CAMILLA, GA 31730-1665
(229) 869-6533
Mailing address
236 MARYLAND DR, CAMILLA, GA 31730-1665
(229) 869-6533
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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