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NPI Code Detail

MEDICARE: DR. TONY ARLAND WHITE M.D.

MEDICARE: DR. TONY ARLAND 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
1207P00000XEmergency Medicine Physician00017463AL
2207Q00000XFamily Medicine Physician17463AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659314615
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TONY ARLAND WHITE M.D.
Provider Business Mailing Address
First Line : 590 MEDICAL CENTER DR SW
Second Line : SUITE 190
City : FORT PAYNE
State : AL
Zip : 35968-3418
Country : US
Telephone Number : 256-997-2526
Fax Number : 256-997-2553
Provider Business Practice Location Address
First Line : 590 MEDICAL CENTER DR SW
Second Line : SUITE 190
City : FORT PAYNE
State : AL
Zip : 35968-3418
Country : US
Telephone Number : 256-997-2526
Fax Number : 256-997-2553
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 03/03/2016

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