| White County Primary Care, Llc | |
|
457 Vista Dr Sparta TN 38583-1360 | |
| (931) 738-3383 | |
| (931) 738-8911 |
| Full Name | White County Primary Care, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 457 Vista Dr, Sparta, Tennessee |
| Authorized Official Name and Position | Karen Weaver (DIRECTOR OF CLINIC SERVICES) |
| Authorized Official Contact | 9318088201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White County Primary Care, Llc 457 Vista Dr Sparta TN 38583-1360 Ph: (931) 738-3383 | White County Primary Care, Llc 457 Vista Dr Sparta TN 38583-1360 Ph: (931) 738-3383 |
| NPI Number | 1912278656 |
|---|---|
| Provider Enumeration Date | 01/25/2012 |
| Last Update Date | 01/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912278656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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