Individual
CHESTER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1041 S MADISON ST, TUPELO, MS 38801-6309
(662) 844-8754
Mailing address
1041 S MADISON ST, TUPELO, MS 38801-6309
(662) 844-8754
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
8466
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010900
—
MS
Enumeration date
07/26/2006
Last updated
01/24/2012
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