Doctor Name: | MR. WILLIAM ALAN WHITE |
NPI Number: | 1255565958 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 100664 |
Business Practice Address: | 3500 Daniels Rd Ne Leland, NC - 284514174 |
Business Phone Number: | 9103714080 |
Business Fax Number: | |
Mailing Address: | 1135 Military Cutoff Rd, Ste 103 WILMINGTON |
State: | NC |
Postal Code: | 284053685 |
Phone Number: | 9103714080 |
Fax Number: | |
NPI Enumeration Date: | 05/08/2009 |
NPI Last Update Date: | 06/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 100664 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |