Individual
KEVIN MATTHEW WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7844
(864) 455-7848
Mailing address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7844
(864) 455-7848
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL39527
SC
208000000X
Pediatrics Physician
LL39527
SC
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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