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DAVID HOWARD WHITESIDE
391 GLENN SPRINGS RD PACOLET SC 293722417

DAVID HOWARD WHITESIDE is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1003205626. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6901127513. The primary specialty is NURSE PRACTITIONER. The organization is MARY BLACK PHYSICIANS GROUP LLC. The address is 391 GLENN SPRINGS RD, , PACOLET, SC, 293722417. The zip code is 293722417.


Nation Provider ID1003205626
PAC ID by PECOS6901127513
Professional Enrollment IDI20150608003072
NameDAVID HOWARD WHITESIDE
Medical School NameUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year2014
Primary SpecialtyNURSE PRACTITIONER
All secondary specialties
Organization NameMARY BLACK PHYSICIANS GROUP LLC
Group Practice PAC ID840393740
Number of Group Practice members89
Address391 GLENN SPRINGS RD, , PACOLET, SC, 293722417
Hospital affiliation LBNMARY BLACK HEALTH SYSTEM LLC
Graduation Year2014
Contact Number8644743013
Email Address[Show_Email_ID]

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