# MICHAEL J WHITE MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235377508
- **Authorized official:** DR. MICHAEL J WHITE MD (OWNER)
- **Authorized official phone:** (803) 405-1711

## Contact information

- **Practice address:** 1812 JOHNSTONE ST, NEWBERRY, SC 29108-3958
- **Practice address phone:** (803) 405-1711
- **Mailing address:** 1812 JOHNSTONE ST, NEWBERRY, SC 29108-3958
- **Mailing address phone:** (803) 405-1711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2009
- **Last updated:** 05/04/2009