Individual
JENNIFER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4800
Mailing address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26505
(304) 293-3091
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25019
WV
2085R0202X
Diagnostic Radiology Physician
MD453849
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103009586
—
PA
Enumeration date
04/09/2010
Last updated
04/15/2022
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