State of Tennessee

NPI #1366589293 in Decatur, Tennessee

Provider Information

NPI Number
1366589293
Entity Type
Organization
Organization Name
State of Tennessee
Primary Specialty
Public Health or Welfare
Enumeration Date
Jan 31, 2007
Last Updated
Nov 21, 2022

Practice Location

Address
389 RIVER RD
ZIP Code
37322-7801
Phone
(423) 334-5185

Authorized Official

Name
MR. RICHARD W MCCARTHY
Title
ACCOUNTING MANAGER
Phone
(423) 634-5832

Specialties & Taxonomy Codes

Specialty
Public Health or Welfare

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