Jerald W White is a Specialist in Brownsville, Tennessee. Jerald W White practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jerald W White is 1770659732. The last update date is 2023-11-04.
Jerald W White's current location address is 2565 N Washington Ave, Brownsville, Tennessee. You can contact this provider via phone number 7317724199 and fax number 7317727703. The mailing address for Jerald W White is 2565 N Washington Ave, Brownsville, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jerald W White |
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Address | 2565 N Washington Ave, Brownsville, Tennessee |
Phone Number | 7317724199 |
Fax Number | 7317727703 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1770659732 |
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Provider Enumeration Date | 2006-11-28 |
Last Updated Date | 2023-11-04 |
Provider Mailing Address Detail
Address | 2565 N Washington Ave |
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City | Brownsville |
State | Tennessee (TN) |
Post Code | 380121610 |
Phone Number | 7317724199 |
Fax Number | 7317727703 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | MD8895 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
3156277 | TN | -- | |
3156276 | TN | -- | |
3156270 | TN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jerald W White?
The Jerald W White has been issued the NPI (National Provider Identifier) 1770659732 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jerald W White's facilities are geographically located?
The facilities of Jerald W White are physically situated at the following location: 2565 N Washington Ave, Brownsville, TN, 380121610.
What is Jerald W White's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerald W White is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date was the 1770659732 assigned to Jerald W White?
The Jerald W White was issued its 1770659732 on 2006-11-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jerald W White most recently updated?
The details pertaining to the Jerald W White, including its address, specialty, and other relevant information, were last refreshed on 2023-11-04.
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