State of Tennessee
NPI #1447397666 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1447397666
- Entity Type
- Organization
- Organization Name
- State of Tennessee
- Primary Specialty
- Public Health or Welfare
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 219 PRINCETON RD
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37601-2062
- Phone
- (423) 979-4609
Authorized Official
- Name
- MR. JAMES TIMOTHY CARSON, MSEH
- Title
- COUNTY DIRECTOR 3
- Phone
- (423) 975-7927
Specialties & Taxonomy Codes
| Specialty |
|---|
| Public Health or Welfare |
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