Providence Family Medicine

NPI #1437703741 in Sparta, Tennessee

Provider Information

NPI Number: 1437703741
Entity Type: Organization
Organization Name: Providence Family Medicine
Primary Specialty: Physician Assistant
Enumeration Date: Jul 25, 2019
Last Updated: Nov 3, 2020

Practice Location

Address: 287 W TURN TABLE RD
City: Sparta
State: Tennessee
ZIP Code: 38583-1366
Phone: (931) 836-3262

Authorized Official

Name: MRS. KATINA E HUFF, PAC
Title: OWNER
Phone: (931) 836-3262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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