Provider Demographics
NPI:1033429709
Name:WHITE, DENISE RENE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:RENE
Last Name:WHITE
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1434 BROADRICK DR
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-3009
Mailing Address - Country:US
Mailing Address - Phone:706-529-9301
Mailing Address - Fax:706-529-9302
Practice Address - Street 1:1434 BROADRICK DR
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-3009
Practice Address - Country:US
Practice Address - Phone:706-278-5961
Practice Address - Fax:706-529-9302
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2022-08-02
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Provider Licenses
StateLicense IDTaxonomies
GA5981363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant