State of Tennessee

NPI #1215961461 in Shelbyville, Tennessee

Provider Information

NPI Number
1215961461
Entity Type
Organization
Organization Name
State of Tennessee
Primary Specialty
Public Health or Welfare
Enumeration Date
Jul 11, 2006
Last Updated
Sep 25, 2012

Practice Location

Address
140 DOVER ST
ZIP Code
37160-2776
Phone
(931) 684-3426

Authorized Official

Name
BARBARA J WHITWELL
Title
OFFICE SUPERVISOR
Phone
(931) 490-8334

Specialties & Taxonomy Codes

Specialty
Public Health or Welfare

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Provider Name
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