Individual
ZACHARY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
8322 BELLONA AVE STE 100, TOWSON, MD 21204-2065
(410) 337-7900
Mailing address
47 ACORN CIR APT 303, TOWSON, MD 21286-3766
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
A0000699
MD
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
C07714
MD
Other
Enumeration date
12/31/2014
Last updated
05/09/2023
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