State of Tennessee

NPI #1386797058 in Fairview, Tennessee

Provider Information

NPI Number
1386797058
Entity Type
Organization
Organization Name
State of Tennessee
Primary Specialty
Public Health or Welfare
Enumeration Date
Jan 18, 2007
Last Updated
Aug 28, 2012

Practice Location

Address
2629 FAIRVIEW BLVD
ZIP Code
37062-9084
Phone
(615) 799-2389

Authorized Official

Name
MRS. ANNETTE HALEY
Title
REGIONAL DIRECTOR
Phone
(615) 650-7000

Specialties & Taxonomy Codes

Specialty
Public Health or Welfare

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