Individual
HANS JURGEN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
610 N FAYETTEVILLE ST, SUTE 103, ASHEBORO, NC 27203-4670
(336) 625-1285
Mailing address
110 CLINTON STR., P.O. BOX 1318, MT. GILEAD, NC 27306
(910) 439-6406
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
101248
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN
—
Enumeration date
10/23/2006
Last updated
05/21/2020
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