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1689187130
GRADY ALEXANDER WHITE
ATHENS, GA
NPI
1689187130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN227135)
Enumeration Date
2017-11-07
Last Update Date
2017-11-07
Business Address
Mr. GRADY ALEXANDER WHITE NP
1199 PRINCE AVE
ATHENS, GA 30606-2797
Phone number: 706-475-7000
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Mailing Address
Mr. GRADY ALEXANDER WHITE NP
221 TOWNS WALK DR
ATHENS, GA 30606-7979
Phone number: 843-460-0505
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