Individual
DEANNA R WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 320, COLUMBIA, SC 29203-6896
(803) 434-6771
(803) 434-3855
Mailing address
3555 HARDEN STREET EXT STE 300, COLUMBIA, SC 29203-6894
(803) 545-5016
(803) 255-3451
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19071
MS
207R00000X
Internal Medicine Physician
36316
TN
207R00000X
Internal Medicine Physician
Primary
40367
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05233201
—
MS
05
—
406373
—
SC
Enumeration date
08/30/2006
Last updated
12/14/2022
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