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Individual

CHARLES CODY WHITE IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
309 E 1ST AVE, EASLEY, SC 29640-3040
(864) 850-2663
(864) 306-0012
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
94174
SC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/20/2020
Last updated
07/21/2025
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