Individual
TINA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
253 GARNERSVILLE RD, MORRIS, GA 39867-3325
(334) 695-6025
Mailing address
253 GARNERSVILLE RD, MORRIS, GA 39867-3325
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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