Individual
SELINA FAYE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
500 PINEWOOD RD STE 2, SUMTER, SC 29154-6197
(803) 773-4663
(803) 774-9780
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
22620
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6319
—
SC
Enumeration date
06/05/2019
Last updated
09/15/2023
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