Individual
ADAM KYLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1141 N ROAD ST, ELIZABETH CITY, NC 27909-3326
(252) 384-2462
Mailing address
124 PELICAN POINTE DRIVE, ELIZABETH CITY, NC 27909
(804) 240-5893
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11506
NC
Other
Enumeration date
11/24/2020
Last updated
05/17/2022
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