Individual
HORACE ROGER WHITE
Active
Individual
HORACE ROGER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16447
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00193223F
—
GA
01
—
110092128
RAIL ROAD MEDICARE
GA
01
—
1215001144
BLUE CROSS BLUE SHIELD
GA
01
—
124860510967
HUMANA
GA
01
—
4231143
AETNA
GA
01
—
582142384
TRICARE
GA
01
—
5986187
CIGNA
GA
Enumeration date
11/20/2006
Last updated
05/19/2008
Update your record
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