Individual
JONATHAN M WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 6TH AVE, MONTGOMERY, WV 25136-2199
(304) 442-5151
(304) 442-7494
Mailing address
PO BOX 270, MONTGOMERY, WV 25136-0270
(304) 442-5151
(304) 442-7494
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25777
WV
207Q00000X
Family Medicine Physician
25777
WV
Other
Enumeration date
05/25/2011
Last updated
10/07/2021
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