Dr Paul White LLC
Optometrist in Mcdonough, GA. Organization (NPI-2).
NPI number1174376115
StatusActive
Last updated in NPPESApr 9, 2024
Details
- NPI
- 1174376115
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Paul White LLC
- Organization subpart
- No
- Enumeration date
- Apr 9, 2024
- Certification date
- Apr 9, 2024
- Last updated
- Apr 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
135 Willow LnMcdonough, GA 30253-6574
Phone 678-432-3093
Mailing address
1363 Jefferson AveEast Point, GA 30344-2661
Authorized official
Paul White
Owner
7705580280
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