State of Tennessee State F & a Payroll

NPI #1306818265 in Chattanooga, Tennessee

Provider Information

NPI Number
1306818265
Entity Type
Organization
Organization Name
State of Tennessee State F & a Payroll
Subpart
Yes (part of a larger organization)
Parent Organization
STATE OF TENNESSEE
Primary Specialty
Psychiatric Unit
Enumeration Date
Feb 6, 2006
Last Updated
Mar 31, 2022

Practice Location

Address
100 MOCCASIN BEND RD
ZIP Code
37405-4415
Phone
(423) 265-2271

Authorized Official

Name
MR. RODNEY HENDERSON
Title
ADMINISTRATOR
Phone
(423) 785-3321

Specialties & Taxonomy Codes

Specialty
Psychiatric Unit

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