Individual
DR. THOMAS C. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7617
(757) 314-7993
Mailing address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7617
(757) 314-7993
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101270824
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207472200
—
MO
Enumeration date
01/26/2006
Last updated
08/04/2022
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