Individual
ANDREA LEIGH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1600 22ND AVE, MERIDIAN, MS 39301-3223
(601) 483-5322
Mailing address
PO BOX 749215, ATLANTA, GA 30374-9215
(901) 226-3186
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
80115
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
730-15592
BLUE CROSS ALABAMA
MS
01
—
P00225042
MEDICARE RAILROAD
MS
Enumeration date
11/28/2006
Last updated
10/25/2024
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