State of Tennesseee

NPI #1366589335 in Pikeville, Tennessee

Provider Information

NPI Number: 1366589335
Entity Type: Organization
Organization Name: State of Tennesseee
Subpart: Yes (part of a larger organization)
Parent Organization: STATE OF TENNESSEE
Primary Specialty: Public Health or Welfare
Enumeration Date: Jan 31, 2007
Last Updated: Feb 9, 2022

Practice Location

Address: 334 FRAZIER ST
City: Pikeville
State: Tennessee
ZIP Code: 37367-4926
Phone: (423) 447-2149

Authorized Official

Name: RICHARD WAYNE MCCARTHY, MBA
Title: ACCOUNTING MANAGER
Phone: (423) 634-5832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Public Health or Welfare	251K00000X	Primary

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