White, Diane

White, Diane is an sole proprietor health care provider with primary practice located at 603 Pecan Lane , Whiteville NC 28472-2835. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. White, Diane can be contacted via phone (310) 780-3444.

Contact Information

Primary practice address
603 Pecan Lane Whiteville NC 28472-2835
Phone: (310) 780-3444
Fax: (310) 780-3444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X BW1823221 North Carolina
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X BW1823221X North Carolina
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X BW1823221 North Carolina

Profile Details

NPI number 1093778011
LBN Legal business name White, Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2006
Last updated Mar 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093778011 NPPES
North Carolina MEDICAID 1093778011

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