White, Marshall A

White, Marshall A is an individual health care provider with primary practice located at 1249 Peake St , Holly Hill SC 29059-2625. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. White, Marshall A can be contacted via phone (803) 496-3389.

Contact Information

Primary practice address
1249 Peake St Holly Hill SC 29059-2625
Phone: (803) 496-3389
Fax: (803) 496-7917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X SC13431 South Carolina

Profile Details

NPI number 1801853783
LBN Legal business name White, Marshall A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Oct 11th, 2007 - about 18 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 1801853783 NPPES
South Carolina MEDICAID GP3879
South Carolina MEDICAID 134312

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