White, David Wesley

White, David Wesley is an individual health care provider with primary practice located at 130 Vann St Ne Suite 230, Marietta GA 30060-7250. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. White, David Wesley can be contacted via phone (770) 425-1341.

Contact Information

Primary practice address
130 Vann St Ne Suite 230 Marietta GA 30060-7250
Fax: (770) 428-6484
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 037727 Georgia

Profile Details

NPI number 1619941325
LBN Legal business name White, David Wesley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Aug 9th, 2007 - about 18 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 1619941325 NPPES
Georgia MEDICAID 00624434D

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