Individual
DR. TYRUS MICHAEL WHITE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 TRILLIUM WAY, BAPTIST HEALTH CANCER CENTER, CORBIN, KY 40701-8727
(606) 523-1934
(606) 523-1982
Mailing address
5200 COMMERCE CROSSINGS DR FL FLOOR, LOUISVILLE, KY 40229-2182
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
42601
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100160280
—
KY
01
—
P01428671
RR MEDICARE
KY
Enumeration date
07/09/2008
Last updated
12/16/2020
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