Individual
DR. LISA K WHITE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2370 MAIN ST, TUCKER, GA 30084-4456
(770) 939-5525
Mailing address
2370 MAIN ST, TUCKER, GA 30084-4456
(770) 939-5525
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3080
GA
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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