Individual
DR. KRISTIN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1608 MAIN ST, CONWAY, SC 29526-3572
(843) 248-4700
(877) 322-0181
Mailing address
1608 MAIN ST, CONWAY, SC 29526-3572
(843) 248-4700
(877) 322-0181
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2369
SC
152W00000X
Optometrist
33577
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D23696
—
SC
Enumeration date
09/20/2013
Last updated
01/03/2023
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