Individual
GREGORY MICHAEL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3509 KINGSTON RD, WINSTON SALEM, NC 27106-3636
(336) 345-0734
Mailing address
3509 KINGSTON RD, WINSTON SALEM, NC 27106-3636
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-1853
NC
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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