Organization · Type 2 NPI
Bennie R White JR MD Inc
Primary Care Clinic/Center · Jackson, GA
NPI number
1306019104
Active
Practice location
794 Mcdonough Rd, Suite 105
Jackson, GA 30233-1572
Fax (770) 775-3668
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 56245 (GA) |
Primary Care Clinic/Center: Definition to come...
9 other providers at this address
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- Renal Treatment Centers Mid Atlantic IncEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Jackson, GA NPI 1558330522
- Select Interventional Pain, PCInterventional Pain Medicine Physician Jackson, GA NPI 1750789947
- South Georgia Treatment, IncMethadone Clinic Jackson, GA NPI 1093963944
- Bennie R. White Jr., MDFamily Medicine Physician Jackson, GA NPI 1376575225
- Dana B. Bass Burch, PAMedical Physician Assistant Jackson, GA NPI 1992943195
- Derrell Levohn Leggett, MDInterventional Pain Medicine Physician Jackson, GA NPI 1306025630
- Jaimi Marie Norrell, NP-CFamily Nurse Practitioner Jackson, GA NPI 1306126529
- Jennifer Monsrud, NPFamily Nurse Practitioner Jackson, GA NPI 1699335810
About NPI 1306019104
Bennie R White JR MD Inc's National Provider Identifier is 1306019104, issued on Apr 12, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Jackson, GA. The record was last updated on Apr 12, 2008.