Individual
DR. JUSTIN SHAY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1910 MALVERN AVE, HOT SPRINGS, AR 71901-7752
(501) 620-2720
Mailing address
109 NOYANT DR, LITTLE ROCK, AR 72223-5078
(501) 821-3541
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-4051
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157898001
—
AR
01
—
5N229
BLUE CROSS
AR
01
—
P00297273
RAILROAD MEDICARE
AR
Enumeration date
06/03/2006
Last updated
01/28/2009
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