Individual provider · Type 1 NPI

Yakeissa Shonta White

Customized Equipment (DME) · Stockbridge, GA

NPI number 1619798972 Active

Practice location

747 Davis Rd Ste 200
Stockbridge, GA 30281-3015

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200XCO26618 (GA)

Customized Equipment (DME): Definition to come...

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About NPI 1619798972

Yakeissa Shonta White's National Provider Identifier is 1619798972, issued on Oct 21, 2024. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Stockbridge, GA. The record was last updated on Oct 21, 2024.