Most Relevant Information
Provider Data
| NPI Number: | 1003802653 |
| Provider Name: | MICHAEL L WHITE PAC |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 001812 |
Most Important Dates
| Enumeration Date: | 09/20/2005 |
| Last Updated: | 01/15/2008 |
Provider Practice Location
1825 MARTHA BERRY BLVD NW
ROME
GA
301651625
Practice Location Phone/Fax
| Phone: | 7062388073 |
| Fax: | 7062388081 |
Provider Mailing Location
1825 MARTHA BERRY BLVD NW
ROME
GA
301651625
Provider Mailing Phone/Fax
| Phone: | 7062955331 |
| Fax: |