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1245221563

NPI Code Detail

MEDICARE: JEFFREY JASON WHITE MD

MEDICARE: JEFFREY JASON WHITE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207WX0200X	Ophthalmic Plastic and Reconstructive Surgery Physician	200201639	NC
2	207W00000X	Ophthalmology Physician	200201639	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00267355	OTHER	NC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	313921	OTHER	NC	WELLPATH
3	E3504	OTHER	NC	MEDCOST
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	1363T	OTHER	NC	BCBS
7	27754	OTHER	NC	OPTICARE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245221563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY JASON WHITE MD

Provider Business Mailing Address
First Line	:	2170 MIDLAND RD
Second Line	:
City	:	SOUTHERN PINES
State	:	NC
Zip	:	28387-2927
Country	:	US
Telephone Number	:	910-295-2100
Fax Number	:	910-295-3625

Provider Business Practice Location Address
First Line	:	2170 MIDLAND RD
Second Line	:
City	:	SOUTHERN PINES
State	:	NC
Zip	:	28387-2927
Country	:	US
Telephone Number	:	910-295-2100
Fax Number	:	910-295-3625

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	12/20/2023

Similar Medicare Providers

1396736617 — DR. DANIEL KENT MESSNER MD
Practice Location Address:

2170 MIDLAND RD
SOUTHERN PINES, NC
28387-2927

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1518958842 — DR. GREGORY JULIAN MINCEY MD
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SOUTHERN PINES, NC
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1932190261 — DR. ANNA FRANCES FAKADEJ MD
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SOUTHERN PINES, NC
28387-2927

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Practice Fax: 910-295-3625

1144211483 — DAVID BRENNEN THRONEBURG OD
Practice Location Address:

2170 MIDLAND RD
SOUTHERN PINES, NC
28387-2927

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1245211333 — CAROLINA EYE ASSOCIATES INC
Practice Location Address:

2170 MIDLAND RD
SOUTHERN PINES, NC
28387-2927

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1952388308 — DR. RICHARD BLAIR PHINNEY MD
Practice Location Address:

2170 MIDLAND RD
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28387-2927

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Practice Fax: 910-295-5339

Directions to “ JEFFREY JASON WHITE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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