Organization
CHELSEY SPARKS DBA DECATURVILLE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEY JOHNSON SPARKS (FNP)
(731) 852-2761
Entity
Organization
Contact information
Practice address
187 W MAIN ST, DECATURVILLE, TN 38329-8078
(731) 852-2761
Mailing address
187 W MAIN ST, DECATURVILLE, TN 38329-8078
(731) 852-2761
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2017
Last updated
06/22/2022
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