Most Relevant Information
Provider Data
| NPI Number: | 1003815358 |
| Provider Name: | MICHAEL JAY WHITE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 163WW0000X |
| Specialty: | Registered Nurse |
| License Number: | 73670 |
Most Important Dates
| Enumeration Date: | 07/19/2005 |
| Last Updated: | 11/07/2024 |
Provider Practice Location
1830 PONDFIELD RD
SUITE A
NEWBERRY
SC
291089522
Practice Location Phone/Fax
| Phone: | 8034057230 |
| Fax: |
Provider Mailing Location
PO BOX 749306
ATLANTA
GA
303749306
Provider Mailing Phone/Fax
| Phone: | 8037964251 |
| Fax: | 8037964449 |