Individual
BALEY M WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
76 HIGHLAND PAVILION CT STE 161, HIRAM, GA 30141-3170
(419) 410-3352
Mailing address
161 DUE WEST TRL, DALLAS, GA 30157-2521
(419) 410-3352
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010080
GA
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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