| White County Physician Services Llc | |
|
401 Sewell Dr Sparta TN 38583-1223 | |
| (931) 738-4347 | |
| (931) 738-9236 |
| Full Name | White County Physician Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 401 Sewell Dr, Sparta, Tennessee |
| Authorized Official Name and Position | Daniel S Slipkovich (CEO) |
| Authorized Official Contact | 6157643049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White County Physician Services Llc 401 Sewell Dr Sparta TN 38583-1223 Ph: (931) 738-4347 | White County Physician Services Llc 401 Sewell Dr Sparta TN 38583-1223 Ph: (931) 738-4347 |
| NPI Number | 1922332428 |
|---|---|
| Provider Enumeration Date | 09/30/2009 |
| Last Update Date | 09/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922332428 | NPI | - | NPPES |
| 3708493 | Medicaid | TN |
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