WALK IN CLINIC OF SPARTA LLC. NPI 1952438020

NPI Information

NPI: 1952438020
Provider Name: WALK IN CLINIC OF SPARTA LLC.
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
396 N SPRING ST
SPARTA, TN
ZIP 38583
Phone: (931) 836-2228
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WALK IN CLINIC OF SPARTA LLC. is a medical physician assistant in Sparta, TN. WALK IN CLINIC OF SPARTA LLC. NPI is 1952438020. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

396 N SPRING ST
SPARTA, TN
ZIP 38583-327
Phone: (931) 836-2228

The provider's authorized official is Wayne Durbin .
The authorized official title is President and has the following contact phone number (931) 836-2228.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 3/2/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA0000000834	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3725921	OTHER	TENNESSEE	MEDICARE GROUP PTAN NUMBER
2	S29477	MEDICARE UPIN	TENNESSEE
3	6140670001	MEDICARE NSC	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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