MEDICARE: LINDSEY L WHITE

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1710931993
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDSEY L WHITE

Provider Business Mailing Address
First Line	:	1134 N ROAD ST
Second Line	:	BLDG.9
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-3365
Country	:	US
Telephone Number	:	252-338-9451
Fax Number	:	252-338-9170

Provider Business Practice Location Address
First Line	:	983 US HIGHWAY 64 E
Second Line	:
City	:	PLYMOUTH
State	:	NC
Zip	:	27962-9216
Country	:	US
Telephone Number	:	252-793-1010
Fax Number	:	252-793-4113

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LINDSEY L WHITE
Credential	:	MD
Telephone Number	:	252-338-9451

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	01/08/2010

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Directions to “LINDSEY L WHITE ” Practice Location

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