White, Kelvin D.
White, Kelvin D. is an individual health care provider with primary practice located at 101 Devant St Suite 902, Fayetteville GA 30214-2710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. White, Kelvin D. can be contacted via phone (770) 716-8228.Contact Information
Primary practice address
101 Devant St Suite 902
Fayetteville GA 30214-2710
Phone: (770) 716-8228
Fax: (770) 716-6588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 33753 | Georgia |
Profile Details
| NPI number | 1457336935 |
|---|---|
| LBN Legal business name | White, Kelvin D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Jul 16th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457336935 | NPPES |
| Georgia | MEDICAID | 000445156F |
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