Healthcare Provider Details

I. General information

NPI: 1417127275
Provider Name (Legal Business Name): DR. JOSEPH FRANCIS WHITE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2008
Last Update Date: 03/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2288 RIVER BEND RD
WEST BLOCTON AL
35184-5418
US

IV. Provider business mailing address

204 PERRY ST
MARION AL
36756-2908
US

V. Phone/Fax

Practice location:
  • Phone: 205-938-2958
  • Fax:
Mailing address:
  • Phone: 334-414-2373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number15497
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: