White, Clinton M

White, Clinton M is an individual health care provider with primary practice located at 6920 Jimmy Carter Blvd Ste. 100, Norcross GA 30071-1277. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. White, Clinton M can be contacted via phone (770) 449-0990.

Contact Information

Primary practice address
6920 Jimmy Carter Blvd Ste. 100 Norcross GA 30071-1277
Phone: (770) 449-0990
Fax: (770) 448-8818
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002073 Georgia

Profile Details

NPI number 1033150867
LBN Legal business name White, Clinton M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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