White, Stephen Daniel

White, Stephen Daniel is an individual health care provider with primary practice located at 1305 Jennings Mill Rd Ste 110 , Watkinsville GA 30677-7241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. White, Stephen Daniel can be contacted via phone (706) 613-5880.

Contact Information

Primary practice address
1305 Jennings Mill Rd Ste 110 Watkinsville GA 30677-7241
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2017-00691 North Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 79912 Georgia

Profile Details

NPI number 1497016034
LBN Legal business name White, Stephen Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2012
Last updated Jul 27th, 2020 - about 4 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 1497016034 NPPES
North Carolina MEDICAID 1497016034
North Carolina MEDICAID NC3012
North Carolina Other 2017-00691

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