Organization
STEPHEN A. WHITE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN A WHITE M.D. (PRESIDENT)
(931) 552-3031
Entity
Organization
Contact information
Practice address
2289 B RUDOLPHTOWN ROAD, CLARKSVILLE, TN 37043-4539
(931) 552-3031
(931) 552-9820
Mailing address
2289 B RUDOLPHTOWN ROAD, CLARKSVILLE, TN 37043-4539
(931) 552-3031
(931) 552-9820
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD14198
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3153602
BLUE CROSS
TN
05
—
3721373
—
TN
Enumeration date
07/19/2006
Last updated
05/24/2012
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