Individual
BOBBY LEE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1111 HUFFMAN MILL RD, BURLINGTON, NC 27215-8862
(336) 584-5544
(365) 844-4383
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(919) 220-5255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01882
NC
363A00000X
Physician Assistant
110001158
VA
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
05/24/2006
Last updated
03/02/2022
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