Provider Demographics
NPI:1417127275
Name:WHITE, JOSEPH FRANCIS
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:FRANCIS
Last Name:WHITE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 PERRY ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:AL
Mailing Address - Zip Code:36756-2908
Mailing Address - Country:US
Mailing Address - Phone:334-414-2373
Mailing Address - Fax:
Practice Address - Street 1:2288 RIVER BEND RD
Practice Address - Street 2:
Practice Address - City:WEST BLOCTON
Practice Address - State:AL
Practice Address - Zip Code:35184-5418
Practice Address - Country:US
Practice Address - Phone:205-938-2958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-08
Last Update Date:2008-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15497207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL15497OtherSTATE OF ALABAMA
E54493Medicare UPIN