Individual
MARSHALL A WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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