Individual
MARYBETH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
558 KITCHINGS DR, STATESVILLE, NC 28677-3588
(704) 978-1144
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 873-4277
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5004061
NC
Other
Enumeration date
08/21/2008
Last updated
06/18/2009
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