Most Relevant Information
Provider Data
| NPI Number: | 1003297896 |
| Provider Name: | GERMAINE WHITE |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 011101008 |
Most Important Dates
| Enumeration Date: | 06/17/2015 |
| Last Updated: | 06/17/2015 |
Provider Practice Location
LSU ATHLETIC TRAINING ATHLETICS BUILDING
BATON ROUGE
LA
708032573
Practice Location Phone/Fax
| Phone: | 2255782050 |
| Fax: |
Provider Mailing Location
3600 AFTON LN
AVONDALE
LA
700942573
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |