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:
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Health care specialties

SpecialtyCodeLicense #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 12 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 1457336935 NPPES
Georgia MEDICAID 000445156F

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