State of Tennessee

NPI #1497892343 in Dunlap, Tennessee

Provider Information

NPI Number: 1497892343
Entity Type: Organization
Organization Name: State of Tennessee
Subpart: Yes (part of a larger organization)
Parent Organization: TENNESEE DEPARTMENT OF HEALTH
Primary Specialty: Public Health or Welfare
Enumeration Date: Jan 31, 2007
Last Updated: Feb 25, 2022

Practice Location

Address: 16939 RANKIN AVE
City: Dunlap
State: Tennessee
ZIP Code: 37327-7029
Phone: (423) 949-3619

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Public Health or Welfare	251K00000X	Primary

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