Gordon Ellis White II MD LLC

Organization Active NPI Family Medicine Physician · Winnfield, LA

NPI 1881024933 · NPPES record last updated Nov 26, 2013

Key facts

NPI
1881024933
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
MD.025398 (LA)
Legal business name
GORDON ELLIS WHITE II MD LLC
Practice address
301 W Boundary Ave
Winnfield, LA 71483-3427
Phone
(318) 648-3034
Fax
(318) 648-3104
NPI assigned
Nov 26, 2013
Organization subpart
No

Authorized official

Name
Dr. Gordon E White, MD
Title
Owner
Phone
(318) 801-4070

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X MD.025398 LA Yes

Addresses

Primary practice location

301 W Boundary Ave
Winnfield, LA 71483-3427

Mailing address

301 W Boundary Ave
Winnfield, LA 71483-3427
Phone (318) 648-3034

Other providers in Winnfield, LA

All providers in Winnfield, LA · Family Medicine Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.