Individual
DR. RENITA FELICIA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5780 PEACHTREE DUNWOODY RD STE 320, ATLANTA, GA 30342-1575
(404) 256-2943
(404) 256-6027
Mailing address
5780 PEACHTREE DUNWOODY RD STE 300, ATLANTA, GA 30342-1513
(404) 303-8035
(404) 303-1325
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
078338
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300034164A
MEDICARE OPT-OUT
GA
Enumeration date
03/25/2013
Last updated
10/25/2019
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