Individual
CAROL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
631 BESSEMER SUPER HWY, MIDFIELD, AL 35228
(205) 715-6121
Mailing address
631 BESSEMER SUPER HWY, MIDFIELD, AL 35228-3013
(205) 715-6121
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1-058146
AL
363LW0102X
Women's Health Nurse Practitioner
2010-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227330000
—
AL
05
—
227390000
—
AL
01
—
511-16835
BLUE CROSS BLUE SHIELD OF AL. (WEST END LOCATION)
AL
01
—
511-16836
BLUE CROSS BLUE SHIELD OF AL (WESTERN LOCATION)
AL
Enumeration date
09/14/2005
Last updated
07/17/2018
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