BLAISE MARCUS WHITE

MARIETTA, GA
NPI1437501889
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
Enumeration Date2016-07-11
Last Update Date2019-08-26
Business Address
Mr. BLAISE MARCUS WHITE PA-A
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 770-794-0477
Mailing Address
Mr. BLAISE MARCUS WHITE PA-A
4047 THESSA CV NE
ROSWELL, GA 30075-5750
Phone number: 678-698-2111