Individual
JERMAINE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(229) 732-5276
Mailing address
116 N HIGHLAND AVE, CUTHBERT, GA 39840-1321
(229) 732-3559
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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