Individual
STEPHON WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
244 ALLANS MILL DR, COLUMBIA, SC 29223-4268
(803) 261-9075
Mailing address
244 ALLANS MILL DR, COLUMBIA, SC 29223-4268
(803) 261-9075
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
1202652
SC
374T00000X
Religious Nonmedical Nursing Personnel
1202652
SC
374U00000X
Home Health Aide
Primary
1202652
SC
376K00000X
Nurse's Aide
1202652
SC
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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