Mr. Randy Allen White, PROVIDER
Mr. Randy Allen White, PROVIDER is an Exclusive Provider Organization in Bainbridge, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2007
Practice location Address checks out
212 W Third Streeet 212 West Third StBainbridge, OH 45612
Phone: (740) 634-2495
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 2316621 (OH) |
|---|
Record details
| NPI number | 1730300906 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PROVIDER |
| Sole proprietor | Yes |
| NPI enumerated | May 2, 2007 |
| Last updated in NPPES | July 8, 2007 |