Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 2017-02639 | NC |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 2017-02639 | NC |
NPI | 1184119695 |
---|---|
Provider Name | Dr. Christopher W White |
First Address | Durham, NC 27705-6827 |
Second Address | Durham, NC 27710-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2018 |
Last Update Date | 28/02/2019 |