Individual
MR. TERRY DEWAYNE WHITE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
300 PROSPECT AVE, HOT SPRINGS, AR 71901-4003
(501) 622-3335
Mailing address
100 DISCOVERY BAY LN, #22, HOT SPRINGS, AR 71913-2401
(501) 860-8700
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 501
AR
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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