Individual
ANDREA M. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC, OTC
Contact information
Practice address
2800 IVY RD, CHARLOTTESVILLE, VA 22903
(434) 243-3600
(434) 244-4454
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126 000034
VA
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
0110004497
VA
Other
Enumeration date
03/15/2007
Last updated
08/10/2023
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