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1003802653
MICHAEL L WHITE
ROME, GA
NPI
1003802653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 001812)
Enumeration Date
2005-09-20
Last Update Date
2008-01-15
Business Address
MR. MICHAEL L WHITE PAC
1825 MARTHA BERRY BLVD NW
ROME, GA 30165-1625
Phone number: 706-238-8073
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Mailing Address
MR. MICHAEL L WHITE PAC
1825 MARTHA BERRY BLVD NW
ROME, GA 30165-1625
Phone number: 706-295-5331
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