White, Bradley J.

White, Bradley J. is an individual health care provider with primary practice located at 229 Athens St , Hartwell GA 30643-1854. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. White, Bradley J. can be contacted via phone (706) 376-3957.

Contact Information

Primary practice address
229 Athens St Hartwell GA 30643-1854
Phone: (706) 376-3957
Fax: (706) 376-1356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X LL1181 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 066437 Georgia

Profile Details

NPI number 1396906491
LBN Legal business name White, Bradley J.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2008
Last updated Oct 2nd, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396906491 NPPES
Georgia MEDICAID 189684661A

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