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Individual

MARVIN D WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
106 MEDICAL DR, ELIZABETH CITY, NC 27909-3361
(252) 338-3002
(252) 338-2902
Mailing address
106 MEDICAL DR, ELIZABETH CITY, NC 27909-3361
(252) 338-3002
(252) 338-2902

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary

Other

Enumeration date
04/18/2018
Last updated
04/03/2020
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