Individual
NICHOLAS WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2114 HARTFORD RD, HAMPTON, VA 23666-2409
(757) 826-3460
(757) 826-5123
Mailing address
860 OMNI BLVD, STE 303, NEWPORT NEWS, VA 23606-4434
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102204579
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2013
Last updated
07/12/2016
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