Individual
MR. SEAN MICHAEL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
890 W FARIS RD STE 580, GREENVILLE, SC 29605-4281
(864) 455-7874
(864) 455-8933
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
APN.0993436-NP
CO
208M00000X
Hospitalist Physician
APN.79610
KS
363LA2100X
Acute Care Nurse Practitioner
Primary
24334
SC
363LA2100X
Acute Care Nurse Practitioner
APN.0993436-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
09/22/2017
Last updated
07/12/2021
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