Sandra White, is a
Nurse Practitioner - Family physician based in Fayetteville, Georgia. Sandra White is licensed to practice in Georgia (license number RN161603) and her current practice location is Po Box 143401, Fayetteville, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 712-9609.
NPI number for Sandra White is 1346084084 and her current mailing address is Po Box 143401, Fayetteville, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346084084.
Physician's Profile
Full Name | Sandra White |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | Po Box 143401, Fayetteville, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346084084
- Provider Enumeration Date: 06/19/2024
- Last Update Date: 06/19/2024
Medical Identifiers
Medical identifiers for Sandra White such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346084084 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | RN161603 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN161603 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra White is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sandra White, Po Box 143401, Fayetteville, GA 30214-6531 Ph: (770) 712-9609 | Sandra White, Po Box 143401, Fayetteville, GA 30214-6531 Ph: (770) 712-9609 |
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