Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 33885 | SC |
NPI | 1073801106 |
---|---|
Provider Name | Dr. Nicholas R. White |
First Address | Florence, SC 29505-6077 |
Second Address | Florence, SC 29505-6077 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2011 |
Last Update Date | 25/10/2021 |