Individual
DR. BARRY WHITES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1151 N STATE ST, STE 617, JACKSON, MS 39202-2407
(601) 352-5864
(601) 352-5867
Mailing address
1151 N STATE ST, STE 617, JACKSON, MS 39202-2407
(601) 352-5864
(601) 352-5867
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
06787
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014870
—
MS
01
—
290004751
RAILROAD MEDICARE
—
01
—
4830011
UNITED HEALTHCARE
—
01
—
512 1 290009
PTAM
MS
Enumeration date
06/16/2005
Last updated
01/07/2015
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