Individual
DR. MARY WHITE STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
351860
LA
2084N0400X
Neurology Physician
Primary
75892
TN
2084N0400X
Neurology Physician
MD61401511
WA
208M00000X
Hospitalist Physician
75892
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
351860
LICENSE
LA
Enumeration date
04/23/2018
Last updated
07/02/2026
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