# DAVID A SACK MD TN PC

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

## Provider details

- **NPI number:** 1427346147
- **Authorized official:** MRS. CHERYL MAPLESDEN CPC, CHC, CHPC (DIRECTOR OF REVENUE CYCLE)
- **Authorized official phone:** (615) 510-3078

## Contact information

- **Practice address:** 6107 PINEWOOD RD, NUNNELLY, TN 37137-2523
- **Practice address phone:** (800) 849-5969
- **Practice address fax:** (931) 729-9632
- **Mailing address:** PO BOX 670521, DALLAS, TX 75267-0521
- **Mailing address phone:** (615) 567-7282
- **Mailing address fax:** (615) 807-2931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD0000021860 | TN | Yes |
| 207R00000X | Internal Medicine Physician | MD0000036454 | TN | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | MD21339 | TN | — |
| 363L00000X | Nurse Practitioner | APN0000015776 | TN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APN0000007899 | TN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APN0000017055 | TN | — |

## Other

- **Enumeration date:** 07/15/2011
- **Last updated:** 06/08/2016