Individual
PAIGE C WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1340 BROAD AVE, SUITE 210, GULFPORT, MS 39501-2404
(228) 575-1600
(228) 575-1603
Mailing address
1340 BROAD AVE, SUITE 210, GULFPORT, MS 39501-2404
(228) 575-1600
(228) 575-1603
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
16571
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00984375
—
MS
Enumeration date
09/25/2006
Last updated
07/23/2008
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