Individual
DR. CAROL ANN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1311 PINEVIEW DR, MORGANTOWN, WV 26505-0485
(304) 598-7546
Mailing address
234 CARMICHAELS RD, CARMICHAELS, PA 15320-2548
(724) 809-1325
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
20351
WV
207P00000X
Emergency Medicine Physician
20351
WV
2086S0129X
Vascular Surgery Physician
Primary
20351
WV
208D00000X
General Practice Physician
20351
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1806879000
—
WV
Enumeration date
11/10/2006
Last updated
03/17/2018
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