Individual
CAROLYN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2147 SILVER THORN CT, LITHONIA, GA 30058-3585
(470) 218-4636
Mailing address
2147 SILVER THORN CT, LITHONIA, GA 30058-3585
(470) 218-4636
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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