John W. White, Jr., MD, PA
Organization Active NPI Legal Medicine · Verona, MS
NPI 1962415117 · NPPES record last updated Feb 2, 2009
Key facts
- NPI
- 1962415117
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Legal Medicine 173000000X
- Legal business name
- JOHN W. WHITE, JR., MD, PA
- Practice address
- 1423 Palmetto Road
Verona, MS 38879-0429 - Phone
- (662) 566-5593
- Fax
- (662) 566-4419
- NPI assigned
- Aug 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Amanda K Crane
- Title
- Clinic Manager
- Phone
- (662) 566-5593
Practitioners 15
-
John C Adams, MD
-
Cherryl M Avent, FNP
-
James L Burrell Jr., CFNP
-
Rebecca Butler, CFNP
-
Alicia Collins, CFNP
-
Brian Friloux, MD
-
Lenora Griffin, CFNP
-
April Denham Robbins, CFNP
-
Cynthia J Rushing, CFNP
-
Deanna L Sanders, FNP
-
Jessie R Taylor, M.D.
-
Virginia Kelli Rosas, FNP
-
Susan Cohan Watson, CFNP
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine |
173000000X | MS | Yes |
Addresses
Primary practice location
1423 Palmetto Road
Verona, MS 38879-0429
Mailing address
PO Box 429
1423 Palmetto Road
Verona, MS 38879-0429
Phone (662) 566-5593
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08873263 | Medicaid | MS |
Other names
- Express Care South
Other providers in Verona, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.