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Organization

DAVID A SACK MD TN PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHERYL MAPLESDEN CPC, CHC, CHPC (DIRECTOR OF REVENUE CYCLE)
(615) 510-3078
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000021860
TN
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
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