# GORDON ELLIS WHITE II MD LLC

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

## Provider details

- **NPI number:** 1881024933
- **Authorized official:** DR. GORDON E WHITE MD (OWNER)
- **Authorized official phone:** (318) 801-4070

## Contact information

- **Practice address:** 301 W BOUNDARY AVE, WINNFIELD, LA 71483-3427
- **Practice address phone:** (318) 648-3034
- **Practice address fax:** (318) 648-3104
- **Mailing address:** 301 W BOUNDARY AVE, WINNFIELD, LA 71483-3427
- **Mailing address phone:** (318) 648-3034
- **Mailing address fax:** (318) 648-3104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD.025398 | LA | Yes |

## Other

- **Enumeration date:** 11/26/2013
- **Last updated:** 11/26/2013