Provider Demographics
NPI:1922339928
Name:WHITE, JAMES PAUL JR (PA - C)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:PAUL
Last Name:WHITE
Suffix:JR
Gender:M
Credentials:PA - C
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Mailing Address - Street 1:1636 REGULUS AVE
Mailing Address - Street 2:N00M
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23461-2200
Mailing Address - Country:US
Mailing Address - Phone:757-893-2000
Mailing Address - Fax:757-462-8409
Practice Address - Street 1:1636 REGULUS AVE
Practice Address - Street 2:N00M
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23461-2200
Practice Address - Country:US
Practice Address - Phone:757-893-2000
Practice Address - Fax:757-462-8409
Is Sole Proprietor?:No
Enumeration Date:2010-01-15
Last Update Date:2010-01-15
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant