Individual
MR. STEPHEN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5304 QUAIL WOOD DR APT H, WINSTON SALEM, NC 27104-5505
(252) 706-0785
Mailing address
5304 QUAIL WOOD DR APT H, WINSTON SALEM, NC 27104-5505
(252) 706-0785
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A6261
NC
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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