State of Tennessee

NPI #1487791315 in Jasper, Tennessee

Provider Information

NPI Number
1487791315
Entity Type
Organization
Organization Name
State of Tennessee
Primary Specialty
Public Health or Welfare
Enumeration Date
Jan 31, 2007
Last Updated
Feb 25, 2022

Practice Location

Address
24 E 7TH ST
City
Jasper
ZIP Code
37347-3301
Phone
(423) 942-2238

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Public Health or Welfare

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