White, Marshall A
White, Marshall A is an individual health care provider with primary practice located at 1249 Peake St , Holly Hill SC 29059-2625. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. White, Marshall A can be contacted via phone (803) 496-3389.Contact Information
Primary practice address
1249 Peake St
Holly Hill SC 29059-2625
Phone: (803) 496-3389
Fax: (803) 496-7917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | SC13431 | South Carolina |
Profile Details
| NPI number | 1801853783 |
|---|---|
| LBN Legal business name | White, Marshall A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Oct 11th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801853783 | NPPES |
| South Carolina | MEDICAID | GP3879 | |
| South Carolina | MEDICAID | 134312 |
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