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Organization
MOBILE DIAGNOSTICS, LLC
Active
Organization
MOBILE DIAGNOSTICS, LLC
Active
Other names
Sumter Neorology and Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL A. WHITE MD (PHYSICIAN/OWNER)
(803) 774-7246
Entity
Organization
Contact information
Practice address
312 BROAD STREET, SUMTER, SC 29150
(803) 774-7246
(803) 774-7250
Mailing address
PO BOX 369, SUMTER, SC 29151
(803) 436-5582
(803) 436-0085
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
01/26/2006
Last updated
07/30/2010
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