White County Primary Care, LLC

NPI #1912278656 in Sparta, Tennessee

Provider Information

NPI Number: 1912278656
Entity Type: Organization
Organization Name: White County Primary Care, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 25, 2012
Last Updated: Jan 25, 2012

Practice Location

Address: 457 VISTA DR
City: Sparta
State: Tennessee
ZIP Code: 38583-1360
Phone: (931) 738-3383

Authorized Official

Name: MRS. KAREN WEAVER
Title: DIRECTOR OF CLINIC SERVICES
Phone: (931) 808-8201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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