Individual
CHRISTINA LANE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6040 UNIVERSITY TOWN CENTRE DR, MORGANTOWN, WV 26501-2421
(855) 988-2273
Mailing address
25 MILLBROOK RD, BRIDGEPORT, WV 26330-1019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2915
WV
Other
Enumeration date
08/18/2022
Last updated
08/14/2024
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