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NPI Code Detail

MEDICARE: COURTNEY WHITE

MEDICARE: COURTNEY 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
1172A00000XDriver

General Provider Information

NPI Number : 1982320784
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY WHITE
Provider Business Mailing Address
First Line : 1639 W NORTH BEND RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45224-2023
Country : US
Telephone Number : 513-954-3762
Fax Number : 513-672-0917
Provider Business Practice Location Address
First Line : 1639 W NORTH BEND RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45224-2023
Country : US
Telephone Number : 513-954-3762
Fax Number : 513-672-0917
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2022
Last Update Date : 10/13/2022

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Directions to “ COURTNEY WHITE ” Practice Location

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