White County Physician Services INC

NPI #1417950122 in Brentwood, Tennessee

Provider Information

NPI Number: 1417950122
Entity Type: Organization
Organization Name: White County Physician Services INC
Primary Specialty: Family Medicine
Enumeration Date: May 27, 2005
Last Updated: Mar 14, 2008

Practice Location

Address: 330 FRANKLIN RD
City: Brentwood
State: Tennessee
ZIP Code: 37027-3280
Phone: (616) 309-3300

Authorized Official

Name: DEBBIE T BREWER
Title: DIRECTOR OF PROVIDER ENROLLMENT
Phone: (615) 465-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Obstetrics & Gynecology	207V00000X
Pediatrics	208000000X
Family Medicine	207Q00000X	Primary

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