State of Tennessee

NPI #1275179301 in Trenton, Tennessee

Provider Information

NPI Number: 1275179301
Entity Type: Organization
Organization Name: State of Tennessee
Subpart: Yes (part of a larger organization)
Parent Organization: GIBSON CO. HEALTH DEPT.
Primary Specialty: Public Health or Welfare
Enumeration Date: Nov 25, 2019
Last Updated: Nov 25, 2019

Practice Location

Address: 1250 S MANUFACTURERS ROW
City: Trenton
State: Tennessee
ZIP Code: 38382-3632
Phone: (731) 855-7601

Authorized Official

Name: MARILYN BARNES, DO
Title: REGIONAL DIRECTOR
Phone: (731) 421-6700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Public Health or Welfare	251K00000X	Primary

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