White, David Anthony

White, David Anthony is an individual health care provider with primary practice located at 750 Townpark Ln Nw Kaiser Permanente Town Park Medical Center, Kennesaw GA 30144-5579. 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, David Anthony can be contacted via phone (678) 957-3040.

Contact Information

Primary practice address
750 Townpark Ln Nw Kaiser Permanente Town Park Medical Center Kennesaw GA 30144-5579
Phone: (678) 957-3040
Fax: (678) 957-3047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103659 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005699 Georgia

Profile Details

NPI number 1760436513
LBN Legal business name White, David Anthony
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jan 10th, 2022 - about 2 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 1760436513 NPPES
Georgia MEDICAID 148821379A

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