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Individual

MR. ROD POWELL WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NMT

Contact information

Practice address
724 S 8TH ST, GRIFFIN, GA 30224-4827
(770) 227-3514
Mailing address
PO BOX 502, SUNNY SIDE, GA 30284-0502
(770) 228-7917

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT003954
GA

Other

Enumeration date
05/22/2008
Last updated
05/22/2008
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