Individual
DR. MAE T. WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., P.C.
Contact information
Practice address
2291 FAIRBURN RD SW, ATLANTA, GA 30331-5038
(404) 349-4343
(404) 349-4344
Mailing address
2291 FAIRBURN RD SW, ATLANTA, GA 30331-5038
(404) 349-4343
(404) 349-4344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8467
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000163127A
—
GA
05
—
101112
—
GA
05
—
9182324
—
GA
Enumeration date
01/04/2007
Last updated
01/26/2017
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