Individual
DR. JARED ADAM WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1968 PEACHTREE RD NW BLDG 775TH, ATLANTA, GA 30309-1281
(404) 605-4600
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
28464
AL
204F00000X
Transplant Surgery Physician
81933
SC
204F00000X
Transplant Surgery Physician
Primary
98768
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051116813
BCBS
AL
01
—
051116814
BCBS
AL
01
—
051116815
BCBS
AL
01
—
051116816
BCBS
AL
05
—
08389333
—
MS
05
—
128476
—
AL
05
—
128477
—
AL
05
—
128478
—
AL
05
—
129530
—
AL
Enumeration date
05/10/2007
Last updated
07/05/2024
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