Individual
STEVEN BLAKE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
201 INDEPENDENCE, COLUMBUS, MS 39710-6729
(662) 434-2273
Mailing address
14TH MEDICAL GROUP 201 INDEPENDENCE DR, COLUMBUS, MS 39710-0001
(662) 434-2273
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6797
MS
Other
Enumeration date
02/10/2020
Last updated
12/01/2021
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