White, Judith

White, Judith is an individual health care provider with primary practice located at 105 W Stone Dr Ste 3A, Kingsport TN 37660-3256. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. White, Judith can be contacted via phone (423) 857-2260.

Contact Information

Primary practice address
105 W Stone Dr Ste 3A Kingsport TN 37660-3256
Phone: (423) 857-2260
Fax: (423) 857-2261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD 16406 Tennessee

Profile Details

NPI number 1316940018
LBN Legal business name White, Judith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Sep 24th, 2009 - about 15 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 1316940018 NPPES
Tennessee MEDICAID 3025707
Tennessee MEDICAID 5849331
Tennessee MEDICAID 005849331

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