David Anthony White in Kennesaw - Physician Assistant
David Anthony White - NPI 1760436513
David Anthony White is a Physician Assistant in Kennesaw, Georgia. David Anthony White practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for David Anthony White is 1760436513. The last update date is 2022-01-10.
David Anthony White's current location address is 750 Townpark Ln Nw, Kennesaw, Georgia. You can contact this provider via phone number 6789573040 and fax number 6789573047. The mailing address for David Anthony White is 750 Townpark Ln Nw, Kennesaw, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Anthony White |
|---|---|
| Address | 750 Townpark Ln Nw, Kennesaw, Georgia |
| Phone Number | 6789573040 |
| Fax Number | 6789573047 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1760436513 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2022-01-10 |
Provider Mailing Address Detail
| Address | 750 Townpark Ln Nw |
|---|---|
| City | Kennesaw |
| State | Georgia (GA) |
| Post Code | 301445579 |
| Phone Number | 6789573040 |
| Fax Number | 6789573047 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9103659 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 148821379A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to David Anthony White by the Centers for Medicare & Medicaid Services?
The David Anthony White has been assigned the NPI (National Provider Identifier) 1760436513. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of David Anthony White?
The David Anthony White is situated at 750 Townpark Ln Nw, in the city of Kennesaw, state of GA, with the zip code 301445579.
What is the David Anthony White's specialty and taxonomy code?
The David Anthony White's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When was the David Anthony White's 1760436513 issued?
The David Anthony White's 1760436513 was issued on 2006-05-19.
As of what date were the details pertaining to David Anthony White last refreshed?
The information related to the David Anthony White, including its address, specialty, and other relevant details, was last updated on 2022-01-10.
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