Individual
DR. DIANE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
603 PECAN LANE, WHITEVILLE, NC 28472-2835
(310) 780-3444
(310) 780-3444
Mailing address
2914 N ELM ST # 183, LUMBERTON, NC 28358-2981
(310) 780-3444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BW1823221
NC
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
BW1823221
NC
2084P0802X
Addiction Psychiatry Physician
BW1823221X
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093778011
—
NC
Enumeration date
04/10/2006
Last updated
03/17/2018
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