Healthcare Provider Details

I. General information

NPI: 1548608813
Provider Name (Legal Business Name): FRANKIE JUNIOR HUGH WHITE M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2013
Last Update Date: 06/28/2021
Certification Date: 06/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 HIGHWAY 54 W SUITE 150
PEACHTREE CITY GA
30269-4794
US

IV. Provider business mailing address

600 CELEBRATE LIFE PKWY
NEWNAN GA
30265-8001
US

V. Phone/Fax

Practice location:
  • Phone: 770-486-5000
  • Fax:
Mailing address:
  • Phone: 770-343-7692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number076227
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: