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NPI Code Detail

MEDICARE: CHEKESHA WHITE

MEDICARE: CHEKESHA 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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1285921361
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHEKESHA WHITE
Provider Business Mailing Address
First Line : 1367 WESTBORO DR SW
Second Line :
City : ATLANTA
State : GA
Zip : 30310
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1367 WESTBORO DR SW
Second Line :
City : ATLANTA
State : GA
Zip : 30310
Country : US
Telephone Number : 404-516-4149
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2011
Last Update Date : 07/08/2011

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Directions to “ CHEKESHA WHITE ” Practice Location

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