Individual
DAYTON E. WHITES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
463 DOTTY STREET, LUCEDALE, MS 39452-6537
(601) 508-0928
Mailing address
463 DOTTY STREET, LUCEDALE, MS 39452-6537
(601) 508-0928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04430
MS
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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