Individual
GREGORY P WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 LEE PARKWAY DR, SUITE E, CHATTANOOGA, TN 37421-6708
(423) 800-0800
(423) 402-9466
Mailing address
PO BOX 28389, CHATTANOOGA, TN 37424-8389
(423) 800-0800
(423) 402-9466
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD0000017977
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3095022
CIGNA MEDICARE OF TN
TN
01
—
4063781
BC/BS OF TN
TN
01
—
621613625001
TRICARE SOUTHERN REGION
TN
01
—
G19483
UPIN
TN
01
—
P00081775
RR MEDICARE
TN
01
—
TN0102
JOHN DEERE HEALTH
TN
Enumeration date
09/02/2006
Last updated
01/03/2012
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