White, Tavorris D.
White, Tavorris D. is an sole proprietor health care provider with primary practice located at 6601 Zebulon Rd , Macon GA 31220-7606. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. White, Tavorris D. can be contacted via phone (478) 477-3383.Contact Information
Primary practice address
6601 Zebulon Rd
Macon GA 31220-7606
Phone: (478) 477-3383
Fax: (478) 475-9492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 009771 | Georgia |
Profile Details
| NPI number | 1033476668 |
|---|---|
| LBN Legal business name | White, Tavorris D. |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2012 |
| Last updated | May 18th, 2021 - about 5 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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