NPI 1053838847

Clifton White

Practitioner Driver Severn, MD

Practice location

Address: 1361 Jamestowne Dr, Severn, MD 21144-2724
Phone: (301) 529-5301
Fax: (240) 765-6336

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence W-300-119-009-336 (MD)

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Registry record

NPI: 1053838847
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Aug 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.