# PATRICK WHITE LLC

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

## Provider details

- **NPI number:** 1508623034
- **Authorized official:** PATRICK W WHITE MD (OWNER)
- **Authorized official phone:** (410) 746-9509

## Contact information

- **Practice address:** 19301 WATKINS MILL RD, MONTGOMERY VILLAGE, MD 20886-6914
- **Practice address phone:** (410) 745-9509
- **Mailing address:** 2850 PEBBLE BEACH DR, ELLICOTT CITY, MD 21042-7604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2024
- **Last updated:** 03/01/2024
