State of Tennessee
NPI #1659687978 in Clarksville, Tennessee
Provider Information
- NPI Number
- 1659687978
- Entity Type
- Organization
- Organization Name
- State of Tennessee
- Primary Specialty
- Public Health or Welfare
- Enumeration Date
- Aug 24, 2010
- Last Updated
- Aug 28, 2012
Practice Location
- Address
- 300 PAGEANT LN
- City
- Clarksville
- State
- Tennessee
- ZIP Code
- 37040-3854
- Phone
- (931) 551-8777
Authorized Official
- Name
- ANNETTE HALEY
- Title
- REGIONAL DIRECTOR
- Phone
- (615) 650-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Public Health or Welfare |
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