Individual
MR. TIMOTHY EDWARD WHITE II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
A.T.C., L.A.T.
Contact information
Practice address
UNIVERSITY OF NORTH CAROLINA AT PEMBROKE, HPER DEPT., PEMBROKE, NC 28372-1510
(910) 522-5727
Mailing address
1103 E 8TH ST, LUMBERTON, NC 28358-5017
(910) 671-9790
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
1145
NC
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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