Individual
MR. CORNELIUS L WHITE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
956 SHADOW TRL, SUMTER, SC 29150-2352
(843) 530-1870
Mailing address
PO BOX 2125, SUMTER, SC 29151-2125
(843) 607-9258
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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