Individual
DR. MICHAEL ALEX WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
294 CHUBBY DR, SUITE #2, COLUMBUS, MS 39705-1358
(662) 244-8393
(662) 244-8392
Mailing address
PO BOX 7433, COLUMBUS, MS 39705-0002
(662) 244-8393
(423) 339-1448
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11125
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116143
—
MS
01
—
050046302
MEDICARE RAILROAD
MS
Enumeration date
08/11/2005
Last updated
07/08/2008
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