Individual
ELIZABETH NICOLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
208 MEDICAL PARK BLVD, BRISTOL, TN 37620-7343
(423) 989-4050
(423) 990-3044
Mailing address
208 MEDICAL PARK BLVD, BRISTOL, TN 37620-7343
(423) 989-4050
(423) 990-3044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4332
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q042000
—
TN
Enumeration date
04/27/2018
Last updated
02/26/2024
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