BENNIE R WHITE JR MD INC is a primary care clinic center in Jackson, GA. BENNIE R WHITE JR MD INC NPI is 1306019104. The provider is registered as an organization entity type.
The provider's business location address is:
794 MCDONOUGH RD SUITE 105 JACKSON, GA ZIP 30233-572 Phone: (770) 775-2341 Fax: (770) 775-3668
The provider's authorized official is Bennie Russell White . The authorized official title is President and has the following contact phone number (770) 775-2341.
The enumeration date for this NPI number is 4/12/2008 and was last updated on 4/12/2008.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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