Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 35-034655 | OH |
NPI | 1205896131 |
---|---|
Provider Name | Dr. George F White |
First Address | Portsmouth, OH 45662-2357 |
Second Address | Portsmouth, OH 45662-2357 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0240822 | (05) | OH |
A74871 | (02) |