Individual
GEORGE W WHITE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3015 WILSON AVE, LOUISVILLE, KY 40211-1969
(502) 774-4401
(502) 772-8984
Mailing address
3015 WILSON AVE, LOUISVILLE, KY 40211-1969
(502) 774-4401
(502) 772-8984
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14918
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1048790
—
KY
Enumeration date
11/17/2006
Last updated
07/08/2007
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