Individual
JENEAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
28 CHANDLER CTR, HARTWELL, GA 30643-7914
(706) 376-9852
(706) 376-1656
Mailing address
28 CHANDLER CTR, HARTWELL, GA 30643-7914
(706) 376-9852
(706) 376-1656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22874
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228756
—
SC
01
—
382200
BCBS-GEORGIA
—
05
—
561710589A
—
GA
01
—
P00232210
RAILROAD MEDICARE
—
Enumeration date
06/09/2006
Last updated
09/15/2022
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