Individual
JOHN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
100 INTERSTATE PARK DR STE 100, MONTGOMERY, AL 36109-5402
(334) 356-3911
Mailing address
100 INTERSTATE PARK STE 100, MONTGOMERY, AL 36109
(334) 356-3911
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-080380
AL
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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