White, Jeremy Jason

White, Jeremy Jason is an sole proprietor health care provider with primary practice located at 1514 Vernon Rd , Lagrange GA 30240-4131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. White, Jeremy Jason can be contacted via phone (770) 874-6873.

Contact Information

Primary practice address
1514 Vernon Rd Lagrange GA 30240-4131
Phone: (770) 874-6873
Fax: (678) 235-6758
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS11193 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0102207033 Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DO2305 Oklahoma
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 069461 Georgia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DO.1547 Alabama
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DO2305 Nevada

Profile Details

NPI number 1780966515
LBN Legal business name White, Jeremy Jason
Credentials DO/PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2011
Last updated Dec 8th, 2022 - about 4 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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