Individual
BRETT WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
715 FAIRGROVE CHURCH RD SE, STE 203, CONOVER, NC 28613-9290
(828) 328-5347
(828) 328-4405
Mailing address
1687 NELSON DR, NEWTON, NC 28658-1516
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C46948
BOC CERTIFICATION
—
Enumeration date
05/25/2011
Last updated
06/01/2011
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