# WHITEVILLE MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194551168
- **Authorized official:** MARY LOCKHART (MANAGER)
- **Authorized official phone:** (901) 483-5370

## Contact information

- **Practice address:** 2400 US HIGHWAY 64, WHITEVILLE, TN 38075-7461
- **Practice address phone:** (731) 254-8999
- **Practice address fax:** (731) 254-8997
- **Mailing address:** 2400 US HIGHWAY 64, WHITEVILLE, TN 38075-7461
- **Mailing address phone:** (731) 254-8999
- **Mailing address fax:** (731) 254-8997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2024
- **Last updated:** 09/09/2024