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Organization
WTPC, LLC
Active
Organization
WTPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON S BURKS (PRACTICE ADMINSITRATOR)
(731) 989-1007
Entity
Organization
Contact information
Practice address
541 W PARK PL, HENDERSON, TN 38340-2027
(731) 989-1007
(731) 989-0704
Mailing address
541 W PARK PL, HENDERSON, TN 38340-2027
(731) 989-1007
(731) 989-0704
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/27/2021
Last updated
01/04/2024
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