White, Krystal Southerlin

White, Krystal Southerlin is an individual health care provider with primary practice located at 325 Medical Pkwy Ste 100 , Greer SC 29650-2458. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. White, Krystal Southerlin can be contacted via phone (864) 797-9200.

Contact Information

Primary practice address
325 Medical Pkwy Ste 100 Greer SC 29650-2458
Phone: (864) 797-9200
Fax: (864) 797-9245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 30989 South Carolina

Profile Details

NPI number 1578723441
LBN Legal business name White, Krystal Southerlin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2008
Last updated Jun 30th, 2021 - about 5 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 1578723441 NPPES
South Carolina MEDICAID 309892

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