Northwest Tennessee Development District

NPI #1114117751 in Martin, Tennessee

Provider Information

NPI Number: 1114117751
Entity Type: Organization
Organization Name: Northwest Tennessee Development District
Primary Specialty: Point of Service
Enumeration Date: Jul 30, 2007
Last Updated: Oct 31, 2007

Practice Location

Address: 124 WELDON DR
City: Martin
State: Tennessee
ZIP Code: 38237-1308
Phone: (731) 587-4213

Authorized Official

Name: MR. JOHN A BUCY
Title: EXECUTIVE DIRECTOR
Phone: (731) 587-4213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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