Individual
JOHN W WHITE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1423 PALMETTO RD, VERONA, MS 38879-0429
(662) 566-5593
(662) 566-4419
Mailing address
PO BOX 429, VERONA, MS 38879-0429
(662) 566-5593
(662) 566-4419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17285
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124378
—
MS
Enumeration date
08/15/2006
Last updated
09/14/2011
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