Provider Demographics
NPI:1942087432
Name:WHITE, ANDREW EDWARD II (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:EDWARD
Last Name:WHITE
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:DREW
Other - Middle Name:
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:210 SEVEN FARMS DR STE 101
Mailing Address - Street 2:
Mailing Address - City:DANIEL ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29492-7563
Mailing Address - Country:US
Mailing Address - Phone:843-428-7900
Mailing Address - Fax:
Practice Address - Street 1:210 SEVEN FARMS DR STE 101
Practice Address - Street 2:
Practice Address - City:DANIEL ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29492-7563
Practice Address - Country:US
Practice Address - Phone:843-428-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor