Individual
MRS. COURTNEY DALLAS WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
13251 FALLS OF NEUSE RD STE 121, RALEIGH, NC 27614-8573
(919) 785-5055
(919) 573-6689
Mailing address
13251 FALLS OF NEUSE RD STE 121, RALEIGH, NC 27614-8573
(919) 785-5055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103974
NC
Other
Enumeration date
01/25/2006
Last updated
02/12/2021
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