White, Paul Jeffrey

White, Paul Jeffrey is an individual health care provider with primary practice located at 3708 Northside Dr , Macon GA 31210-2404. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. White, Paul Jeffrey can be contacted via phone (478) 745-4206.

Contact Information

Primary practice address
3708 Northside Dr Macon GA 31210-2404
Phone: (478) 745-4206
Fax: (478) 254-5463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2145 Georgia

Profile Details

NPI number 1205816964
LBN Legal business name White, Paul Jeffrey
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Dec 28th, 2012 - about 14 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 1205816964 NPPES
Georgia MEDICAID 500922048A

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