Provider Demographics
NPI:1477510592
Name:WHITE, MARGARET AVERY (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:AVERY
Last Name:WHITE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:AVERY
Other - Last Name:WHITE-ARCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:40 N MERRIMON AVE STE 117
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-1368
Mailing Address - Country:US
Mailing Address - Phone:828-348-8232
Mailing Address - Fax:855-323-6740
Practice Address - Street 1:40 N MERRIMON AVE STE 117
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-1368
Practice Address - Country:US
Practice Address - Phone:828-348-8232
Practice Address - Fax:855-323-6740
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35065007208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH930256Medicaid
OH930256Medicaid
F91373Medicare UPIN