Individual
MISS HALIEGH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
42 GENTRY LN, TAUNTON, MA 02780-2894
(774) 218-4837
Mailing address
42 GENTRY LN, TAUNTON, MA 02780-2894
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
200027889
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000027889
ATC
MA
Enumeration date
05/30/2017
Last updated
05/30/2017
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