Healthcare Provider Details

I. General information

NPI: 1598728362
Provider Name (Legal Business Name): KATHARINE SCHUH WHITE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 08/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 LEONARD FULGHUM BLVD SUITE 201
MT PLEASANT SC
29464-3787
US

IV. Provider business mailing address

851 LEONARD FULGHUM BLVD SUITE 201
MT PLEASANT SC
29464-3787
US

V. Phone/Fax

Practice location:
  • Phone: 843-884-5133
  • Fax: 843-849-3343
Mailing address:
  • Phone: 843-884-5133
  • Fax: 843-849-3343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number23122
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: