Individual
MR. CHRISTOPHER L WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
231 DAWKINS DR, LEWISBURG, WV 24901-9674
(304) 645-0870
(304) 645-0970
Mailing address
176 DAWKINS DR, LEWISBURG, WV 24901-9302
(304) 647-4411
(304) 645-0970
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
22204
WV
207YS0123X
Facial Plastic Surgery Physician
200200300
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129458
MEDICAID UNICARE
WV
01
—
2344771
GROUP MEDICARE
NC
05
—
3810007432
—
WV
05
—
5901335
—
NC
Enumeration date
01/27/2006
Last updated
09/23/2020
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