Organization
ELIZABETH B WHITE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH B WHITE MD (OWNER)
(985) 871-8681
Entity
Organization
Contact information
Practice address
205 HIGHLAND PARK PLZ, COVINGTON, LA 70433-7130
(985) 871-8681
(985) 871-8684
Mailing address
205 HIGHLAND PARK PLZ, COVINGTON, LA 70433-7130
(985) 871-8681
(985) 871-8684
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
09381R
LA
208000000X
Pediatrics Physician
09381R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5R802CT69
MEDICARE PTAN
LA
Enumeration date
01/31/2007
Last updated
09/24/2008
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