White, Gregory G

White, Gregory G is an individual health care provider with primary practice located at 600 Palmetto St , New Smyrna Beach FL 32168-7327. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. White, Gregory G can be contacted via phone (386) 424-3845.

Contact Information

Primary practice address
600 Palmetto St New Smyrna Beach FL 32168-7327
Fax: (386) 424-3847
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 26436 Tennessee
Other Service Providers / Specialist 174400000X 064093 Georgia
Other Service Providers / Specialist 174400000X ME55812 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME55812 Florida

Profile Details

NPI number 1851368377
LBN Legal business name White, Gregory G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Mar 7th, 2023 - about last year

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 1851368377 NPPES
Tennessee MEDICAID 3090886
Tennessee MEDICAID 3090882
Tennessee MEDICAID 385639443A

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