Provider Demographics
NPI:1407859374
Name:WHITE, STEVEN WILLIAM (PA)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:WILLIAM
Last Name:WHITE
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:125 S LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:WHISPERING PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28327-9340
Mailing Address - Country:US
Mailing Address - Phone:910-235-1101
Mailing Address - Fax:
Practice Address - Street 1:1620 C. LIVE OAK STREET
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:NC
Practice Address - Zip Code:28516-1581
Practice Address - Country:US
Practice Address - Phone:252-728-5737
Practice Address - Fax:252-728-5739
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC102116363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant