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NPI Code Detail

MEDICARE: MS. SHENEKA WHITE

MEDICARE: MS. SHENEKA WHITE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistPCET002288GA

General Provider Information

NPI Number : 1962851469
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHENEKA WHITE
Provider Business Mailing Address
First Line : 1421 PEACHTREE ST NE
Second Line : APT 201
City : ATLANTA
State : GA
Zip : 30309-3008
Country : US
Telephone Number : 843-601-9913
Fax Number :
Provider Business Practice Location Address
First Line : 1192 FOSTER ST NW
Second Line :
City : ATLANTA
State : GA
Zip : 30318-4329
Country : US
Telephone Number : 404-377-7436
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2016
Last Update Date : 06/07/2016

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Directions to “ MS. SHENEKA WHITE ” Practice Location

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