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Mr. Jeffery White, MASTERBARBER
Orthoptist in Macon, Georgia
NPI 1770183709

Jeffery White is a Orthoptist based in Macon, GA and is specialized in Orthoptist. Jeffery White practices in Macon, GA and has the professional credentials of MASTERBARBER. The NPI Number for Jeffery White is 1770183709 and holds a License No. (Georgia).

The current practice location address for Jeffery White is 1381 Pio Nono Ave, Macon, GA and can be reached out via phone at 478-812-8488.

Location: 1381 Pio Nono Ave, Macon, GA, 31204-4633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770183709
Provider Name
Jeffery White
Credential
MASTERBARBER
Provider Entity Type
Individual
Gender
Male
Address
1381 Pio Nono Ave, Macon, GA, 31204-4633
Phone Number
478-812-8488
Fax Number
Provider Enumeration Date
10/28/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1111111111111111111 05 GA
institution
Provider Business Practice Location Address Details
Address
1381 Pio Nono Ave
City
Macon
State
Georgia
Zip
31204-4633
Phone Number
478-812-8488
Fax Number
person
Provider Business Mailing Address Details
Address
1381 Pio Nono Ave
City
Macon
State
Georgia
Zip
31204-4633
Phone Number
478-812-8488
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Orthoptist
Taxonomy
156FX1900X
License No.
(Georgia)
Definition
Definition to come...
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