Sale Creek Family Practice, Pllc
NPI #1225352164 in Sale Creek, Tennessee
Provider Information
- NPI Number
- 1225352164
- Entity Type
- Organization
- Organization Name
- Sale Creek Family Practice, Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 22, 2010
- Last Updated
- Mar 22, 2010
Practice Location
- Address
- 108 GRIFFITH ST
- City
- Sale Creek
- State
- Tennessee
- ZIP Code
- 37373-9715
- Phone
- (423) 332-1813
Authorized Official
- Name
- DANIEL T. BLACK, DO
- Title
- OWNER
- Phone
- (423) 332-1813
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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