Individual
LINDA DAWN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
401 6TH AVE, MONTGOMERY, WV 25136-2116
(304) 442-5151
Mailing address
PO BOX 214, CHARLTON HEIGHTS, WV 25040-0214
(304) 640-3363
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
579
WV
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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