White County Physician Services LLC

NPI #1922332428 in Sparta, Tennessee

Provider Information

NPI Number: 1922332428
Entity Type: Organization
Organization Name: White County Physician Services LLC
Primary Specialty: Family Medicine
Enumeration Date: Sep 30, 2009
Last Updated: Sep 9, 2013

Practice Location

Address: 401 SEWELL DR
City: Sparta
State: Tennessee
ZIP Code: 38583-1223
Phone: (931) 738-4347

Authorized Official

Name: MR. DANIEL S SLIPKOVICH
Title: CEO
Phone: (615) 764-3049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Obstetrics & Gynecology	207V00000X
Pediatrics	208000000X
Orthopaedic Surgery	207X00000X
Family Medicine	207Q00000X	Primary

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