MEDICARE: CURTIS D. 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	207VG0400X	Gynecology Physician	10863	WV
2	207VG0400X	Gynecology Physician	35050256	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P01022725	OTHER	OH	RRMCR
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427055474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CURTIS D. WHITE MD

Provider Business Mailing Address
First Line	:	PO BOX 449
Second Line	:
City	:	MARIETTA
State	:	OH
Zip	:	45750-0449
Country	:	US
Telephone Number	:	740-374-4500
Fax Number	:	740-374-5887

Provider Business Practice Location Address
First Line	:	807 FARSON ST
Second Line	:	SUITE 202
City	:	BELPRE
State	:	OH
Zip	:	45714-1068
Country	:	US
Telephone Number	:	740-423-3222
Fax Number	:	740-401-0435

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

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	08/06/2020

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Directions to “ CURTIS D. WHITE MD” Practice Location

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