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NPI Code Detail

MEDICARE: WHITE'S PEDIATRICS

MEDICARE: WHITE'S PEDIATRICS
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
1208000000XPediatrics Physician022667GA

General Provider Information

NPI Number : 1104005594
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHITE'S PEDIATRICS
Provider Business Mailing Address
First Line : 1575 CHATTANOOGA AVE
Second Line : SUITE 1
City : DALTON
State : GA
Zip : 30720-2671
Country : US
Telephone Number : 706-876-2131
Fax Number :
Provider Business Practice Location Address
First Line : 1575 CHATTANOOGA AVE
Second Line : SUITE 1
City : DALTON
State : GA
Zip : 30720-2671
Country : US
Telephone Number : 706-876-2131
Fax Number :
Authorized Official
Title or Position : BILLING MANAGER
Name : MENDY HARBOUR
Credential :
Telephone Number : 706-876-2179
Provider Enumeration Date : 11/01/2007
Last Update Date : 11/01/2007

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Directions to “WHITE'S PEDIATRICS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.