Individual
ANDREW A WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 SELMA DR, WINCHESTER, VA 22601-3834
(540) 678-2800
Mailing address
104 SELMA DR, WINCHESTER, VA 22601-3834
(540) 678-2800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101055694
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153806
ANTHEM BCBS
VA
05
—
2007224000
—
WV
01
—
2124799
MAMSI
VA
01
—
674266
NCPPO
VA
Enumeration date
01/13/2006
Last updated
10/11/2007
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