Mark Timothy White M.D.

NPI 1114997640 - Family Medicine - 207Q00000X

NPI Details
NPI 1114997640
Gender Male
Enumeration Date 01/26/2006
Last Updated 10/30/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1338 HIGHWAY 14
SIMPSONVILLE SC, 29681-5637, US
Phone (864) 297-7091
Fax
Business Location
1338 HIGHWAY 14
SIMPSONVILLE SC, 29681-5637, US
Phone (864) 297-7091
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State South Carolina
License Number 15006
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According to our database, Dr. Mark Timothy White M.D. NPI is 1114997640, taxonomy code is 207Q00000X and license number is 15006, license state is located at South Carolina. Mark Timothy White M.D. physically located at 1338 Highway 14, Simpsonville SC, 29681-5637. NPI Number Mark Timothy White M.D. has the Individual type.

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1114997640 NPI number is provided on an as is basis without warranty of any kind. 1114997640 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Timothy White M.D. are for informational purposes only.