Individual
MARSHALL A WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1470 BEN SAWYER BLVD STE 8, MT PLEASANT, SC 29464-4593
(843) 696-3705
(843) 388-5839
Mailing address
1470 BEN SAWYER BLVD STE 8, MOUNT PLEASANT, SC 29464-4593
(843) 696-3705
(843) 388-5839
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
13431
SC
101YM0800X
Mental Health Counselor
13431
SC
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
13431
SC
2084N0400X
Neurology Physician
Primary
13431
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134312
—
SC
05
—
GP3879
—
SC
Enumeration date
04/26/2006
Last updated
04/22/2025
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