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NPI Code Detail

MEDICARE: NADEEN WHITE MD

MEDICARE: NADEEN WHITE MD
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 Physician68575GA

General Provider Information

NPI Number : 1477542462
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADEEN WHITE MD
Provider Business Mailing Address
First Line : 1001 JOHNSON FY RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30342-1605
Country : US
Telephone Number : 404-785-4826
Fax Number : 404-785-4820
Provider Business Practice Location Address
First Line : 1001 JOHNSON FY RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30342-1605
Country : US
Telephone Number : 404-785-4826
Fax Number : 404-785-4820
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2005
Last Update Date : 06/06/2022

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