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1033150867
CLINTON M WHITE
NORCROSS, GA
NPI
1033150867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 002073)
Enumeration Date
2006-06-10
Last Update Date
2007-07-08
Business Address
-- CLINTON M WHITE PA
6920 JIMMY CARTER BLVD STE. 100
NORCROSS, GA 30071-1277
Phone number: 770-449-0990
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Mailing Address
-- CLINTON M WHITE PA
PO BOX 769609
ROSWELL, GA 30076-8224
Phone number: 770-449-0990
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