Doctor Name: | GREGORY G WHITE |
NPI Number: | 1851368377 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 26436 |
Business Practice Address: | 600 Palmetto St New Smyrna Beach, FL - 321687327 |
Business Phone Number: | 3864243845 |
Business Fax Number: | 3864243847 |
Mailing Address: | 600 Palmetto St, NEW SMYRNA BEACH |
State: | FL |
Postal Code: | 321687327 |
Phone Number: | 3864243845 |
Fax Number: | 3864243847 |
NPI Enumeration Date: | 03/02/2006 |
NPI Last Update Date: | 04/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 07/17/2007 |
NPI Reactivation Date: | 08/08/2007 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 26436 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |