Provider Demographics
NPI:1003449471
Name:WHITE, APRIL
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 BAINBRIDGE WAY STE 130
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-4766
Mailing Address - Country:US
Mailing Address - Phone:770-675-6753
Mailing Address - Fax:770-675-6760
Practice Address - Street 1:101 BAINBRIDGE WAY STE 130
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30132-4766
Practice Address - Country:US
Practice Address - Phone:770-675-6753
Practice Address - Fax:770-675-6760
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-13
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251J00000XAgenciesNursing Care