Individual
DR. KEITH ANTHONY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL PARK BLVD FL 5, BRISTOL, TN 37620-7430
(423) 844-1121
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
0101258192
VA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
54778
TN
2084P0800X
Psychiatry Physician
Primary
010125819
VA
2084P0800X
Psychiatry Physician
54778
TN
Other
Enumeration date
05/15/2012
Last updated
08/19/2025
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