Organization
WRIGHTSVILLE SERVICES, LLC
Active
Parent organization
DAVID A SACK MD TN PC
Other names
Brightwater Landing Prof
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVID A SACK MD TN PC
Authorized official
CHERYL MAPLESDEN CPC, CHC, CHPC (DIRECTOR, REVENUE CYCLE)
(615) 510-3708
Entity
Organization
Contact information
Practice address
1166 HILTS RD, WRIGHTSVILLE, PA 17368-9205
(717) 216-0509
Mailing address
PO BOX 670521, DALLAS, TX 75267-0521
(615) 567-7256
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
OS-007771-L
PA
2084P0800X
Psychiatry Physician
MD072422L
PA
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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