Individual
JOHN PRETTYMAN WHITE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000A GLENSIDE DR, RICHMOND, VA 23228-4102
(804) 262-4763
(804) 264-9683
Mailing address
4000A GLENSIDE DR, RICHMOND, VA 23228-4102
(804) 262-4763
(804) 264-9683
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101041221
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
219054
ANTHEM BCBS
VA
Enumeration date
07/18/2005
Last updated
07/09/2007
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