Individual
ZACHARY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LAT, ATC
Contact information
Practice address
171 WEST 5TH STREET, GREENVILLE, NC 27834-1698
(252) 825-0054
Mailing address
122 PINE ST, CAMDEN, NC 27921-6922
(252) 333-4935
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2270
NC
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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