Individual
JEREMY SHANE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 MARSHALL ST STE 104, JACKSON, MS 39202-1663
(601) 969-6404
(601) 973-4541
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
29993
MS
207RI0011X
Interventional Cardiology Physician
A169147
CA
Other
Enumeration date
05/13/2014
Last updated
05/27/2022
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