Individual
DR. JOHN A WHITE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 FRONT ST, SUITE 240, VIDALIA, LA 71373-2836
(318) 336-2214
(318) 336-6069
Mailing address
506 S UNION ST, NATCHEZ, MS 39120-3578
(601) 446-7524
(318) 336-6069
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
017462
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00112499
—
MS
05
—
1378232
—
LA
Enumeration date
09/27/2005
Last updated
07/09/2007
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