Individual
JEFFREY JASON WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2170 MIDLAND RD, SOUTHERN PINES, NC 28387-2927
(910) 295-2100
(910) 295-3625
Mailing address
2170 MIDLAND RD, SOUTHERN PINES, NC 28387-2927
(910) 295-2100
(910) 295-3625
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
200201639
NC
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
200201639
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1363T
BCBS
NC
01
—
27754
OPTICARE
NC
01
—
313921
WELLPATH
NC
05
—
891363T
—
NC
01
—
E3504
MEDCOST
NC
01
—
FH2967125
FIRSTCAROLINACARE
NC
05
—
N01639
—
SC
01
—
P00267355
RAILROAD MEDICARE
NC
Enumeration date
11/04/2005
Last updated
12/20/2023
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