NPI | 1972852341 |
---|---|
Doing Business As | THE FAMILY CARE CLINIC OF SPARTA |
Entity Type | Organization |
Authorized Contact | JERRY W PERNELL CEO 931-707-7117 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 7811) |
Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health (Licence: TN 7811) |
Enumeration Date | 2012-08-31 |
Last Update Date | 2014-01-23 |