Individual
GREGORY G WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7327
(386) 424-3845
(386) 424-3847
Mailing address
600 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7327
(386) 424-3845
(386) 424-3847
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
064093
GA
174400000X
Specialist
26436
TN
174400000X
Specialist
ME55812
FL
207X00000X
Orthopaedic Surgery Physician
Primary
ME55812
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3090882
—
TN
05
—
3090886
—
TN
05
—
385639443A
—
GA
Enumeration date
03/02/2006
Last updated
03/07/2023
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