White, Carol L.

White, Carol L. is an individual health care provider with primary practice located at 251 N Lyerly St Suite 100, Chattanooga TN 37404-2728. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. White, Carol L. can be contacted via phone (423) 826-8000.

Contact Information

Primary practice address
251 N Lyerly St Suite 100 Chattanooga TN 37404-2728
Phone: (423) 826-8000
Fax: (423) 826-8005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 08333 Tennessee

Profile Details

NPI number 1558369116
LBN Legal business name White, Carol L.
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated May 28th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558369116 NPPES
Tennessee MEDICAID 3386460

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