Individual
MR. MARK R WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
4530 SE SCHOOL RD, GREENSBORO, NC 27406-9784
(336) 674-4300
(336) 674-4290
Mailing address
4201 STONEHENGE RD, GREENSBORO, NC 27406-8336
(336) 674-4300
(336) 674-4290
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0282
NC
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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