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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BENNIE R WHITE JR MD INC

Active Organization

BENNIE R WHITE JR MD INC is a Primary Care Clinic organization located in JACKSON, Georgia. NPI 1306019104 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · JACKSON, GA

Registration Details

NPI Number
1306019104
Provider Type
Organization
NPI Issued
Apr 12, 2008 (18.373374579253 yrs)
Last Updated
Apr 12, 2008
License
56245 (GA)

Practice Information

Address
794 MCDONOUGH RD
SUITE 105
JACKSON, GA, 302331572
Browse GA providers · Browse ZIP 30233
Phone
7707752341
Fax
7707753668
Primary Specialty
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.