Individual
DR. MICHAEL ROBERT WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7456
Mailing address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7456
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1850
TN
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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