Individual
BARRY WHITE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2810 PACES FERRY RD SE #132, ATLANTA, GA 30339
(470) 531-1180
Mailing address
507 VININGS PARKWAY SE, SMYRNA, GA 30080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305215859
VA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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