State of Tennessee
NPI #1023159993 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1023159993
- Entity Type
- Organization
- Organization Name
- State of Tennessee
- Primary Specialty
- Public Health or Welfare
- Enumeration Date
- Feb 12, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1233 SOUTHWEST AVE. EXT.
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604
- Phone
- (423) 979-3200
Authorized Official
- Name
- MR. FRED ADANS
- Title
- REGIONAL DIRECTOR
- Phone
- (423) 979-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Public Health or Welfare |
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