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Individual

LINDA WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRPNP

Contact information

Practice address
1001 LEIGHTON AVE, ANNISTON, AL 36207-5782
(256) 237-1618
(256) 237-2661
Mailing address
1001 LEIGHTON AVE, ANNISTON, AL 36207-5782
(256) 237-1618
(256) 237-2661

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1-022510
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051001495
BLUE CROSS BLUE SHIELD
AK
01
202833406
ALL COMMERCIAL CLAIMS
AL
05
8910009700
AL
Enumeration date
08/09/2006
Last updated
07/09/2007
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