Individual
DR. JUDITH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 W STONE DR, STE 3A, KINGSPORT, TN 37660-3256
(423) 857-2260
(423) 857-2261
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 16406
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005849331
—
VA
05
—
3025707
—
TN
05
—
5849331
—
VA
Enumeration date
05/27/2005
Last updated
09/24/2009
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