Physician Management Services of Tennessee, LLC

NPI #1861054173 in Sparta, Tennessee

Provider Information

NPI Number: 1861054173
Entity Type: Organization
Organization Name: Physician Management Services of Tennessee, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: VAXCARE CORPORATION
Primary Specialty: Family Medicine
Enumeration Date: Jul 8, 2019
Last Updated: Apr 30, 2021

Practice Location

Address: 457 VISTA DR
City: Sparta
State: Tennessee
ZIP Code: 38583-1360
Phone: (888) 829-8550

Authorized Official

Name: BRETT KENEFICK
Title: PRESIDENT
Phone: (888) 829-8550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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