# WHITE COUNTY PHYSICIAN SERVICES LLC

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

## Provider details

- **NPI number:** 1922332428
- **Authorized official:** MR. DANIEL S SLIPKOVICH (CEO)
- **Authorized official phone:** (615) 764-3049

## Contact information

- **Practice address:** 401 SEWELL DR, SPARTA, TN 38583-1223
- **Practice address phone:** (931) 738-4347
- **Practice address fax:** (931) 738-9236
- **Mailing address:** 401 SEWELL DR, SPARTA, TN 38583-1223
- **Mailing address phone:** (931) 738-4347
- **Mailing address fax:** (931) 738-9236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 09/30/2009
- **Last updated:** 09/09/2013