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Organization

MOBILE DIAGNOSTICS, LLC

Active
Other names
Sumter Neorology and Pain Management
Organization subpart
No

Provider details

NPI number
Authorized official
MARSHALL A. WHITE MD (PHYSICIAN/OWNER)
(803) 774-7246
Entity
Organization

Contact information

Practice address
312 BROAD STREET, SUMTER, SC 29150
(803) 774-7246
(803) 774-7250
Mailing address
PO BOX 369, SUMTER, SC 29151
(803) 436-5582
(803) 436-0085

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2084N0400X
Neurology Physician
208VP0000X
Pain Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP3879
SC
Enumeration date
01/26/2006
Last updated
07/30/2010
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