Provider Demographics
NPI:1386798312
Name:WARNER-WHITE, VICTORIA YALONDA (MD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:YALONDA
Last Name:WARNER-WHITE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2040 DAN PROCTOR DR
Mailing Address - Street 2:SUITE #230
Mailing Address - City:SAINT MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558-3811
Mailing Address - Country:US
Mailing Address - Phone:912-576-6464
Mailing Address - Fax:
Practice Address - Street 1:2040 DAN PROCTOR DR
Practice Address - Street 2:SUITE #230
Practice Address - City:SAINT MARYS
Practice Address - State:GA
Practice Address - Zip Code:31558-3811
Practice Address - Country:US
Practice Address - Phone:912-576-6464
Practice Address - Fax:912-576-6460
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA039504208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics