Individual
JAMES LAFAYETTE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1464 MEDICAL PARK CIR, TUPELO, MS 38801-6595
(662) 844-8699
(662) 844-7087
Mailing address
PO BOX 2175, TUPELO, MS 38803-2175
(662) 844-8699
(662) 844-7087
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10827
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200005834
RAILROAD MEDICARE
—
01
—
73099413
BCAL
—
Enumeration date
07/14/2005
Last updated
10/21/2014
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