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NPI Code Detail

MEDICARE: DR. SUZANNE K WILLIAMS-WHITE M.D.

MEDICARE:  DR. SUZANNE K WILLIAMS-WHITE  M.D.
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
1208000000XPediatrics Physician35-07-0593OH

General Provider Information

NPI Number : 1255490702
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUZANNE K WILLIAMS-WHITE M.D.
Provider Business Mailing Address
First Line : 10008 ARN DR
Second Line :
City : DAYTON
State : OH
Zip : 45458-4148
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 617 SHROYER RD
Second Line :
City : DAYTON
State : OH
Zip : 45419-4055
Country : US
Telephone Number : 937-296-1126
Fax Number : 937-296-1728
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2006
Last Update Date : 06/01/2009

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Directions to “ DR. SUZANNE K WILLIAMS-WHITE M.D.” Practice Location

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