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Organization

WHITE COUNTY PHYSICIAN SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE T BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(615) 465-7000
Entity
Organization

Contact information

Practice address
330 FRANKLIN RD, BRENTWOOD, TN 37027-3280
(616) 309-3300
(615) 309-3338
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician

Other

Enumeration date
05/27/2005
Last updated
03/14/2008
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