Healthcare Provider Details

I. General information

NPI: 1912014051
Provider Name (Legal Business Name): ROLFE DOWNING WHITE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 07/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1137 FIRST COLONIAL RD
VIRGINIA BEACH VA
23454-2402
US

IV. Provider business mailing address

1137 FIRST COLONIOAL RD
VIRGINIA BEACH VA
23454-2402
US

V. Phone/Fax

Practice location:
  • Phone: 757-496-7005
  • Fax: 757-496-3464
Mailing address:
  • Phone: 757-496-7005
  • Fax: 757-496-3464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number0101031437
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: