Provider Demographics
NPI:1376105536
Name:WHITE, ADAM J (CAA)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:J
Last Name:WHITE
Suffix:
Gender:M
Credentials:CAA
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Mailing Address - Street 1:4466 SILVER OAK DR SW
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30504-8500
Mailing Address - Country:US
Mailing Address - Phone:770-654-7849
Mailing Address - Fax:
Practice Address - Street 1:743 SPRING ST NE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3715
Practice Address - Country:US
Practice Address - Phone:770-219-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-08
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
367H00000X
GA9439207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
No367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant