Individual
JONATHAN C WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9670 26TH BAY ST, NORFOLK, VA 23518-1808
(207) 712-1018
Mailing address
110 KINGSLEY LN STE 305, NORFOLK, VA 23505-4617
(757) 889-5422
(757) 889-5450
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
0101239881
VA
2085R0202X
Diagnostic Radiology Physician
Primary
0101239881
VA
2085R0204X
Vascular & Interventional Radiology Physician
0101239881
VA
Other
Enumeration date
08/31/2006
Last updated
03/19/2020
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