State of Tennessee
NPI #1720255631 in Blountville, Tennessee
Provider Information
- NPI Number
- 1720255631
- Entity Type
- Organization
- Organization Name
- State of Tennessee
- Primary Specialty
- Public Health or Welfare
- Enumeration Date
- May 9, 2008
- Last Updated
- May 21, 2008
Practice Location
- Address
- HIGHWAY 126
- City
- Blountville
- State
- Tennessee
- ZIP Code
- 37617
- Phone
- (423) 279-2777
Authorized Official
- Name
- MR. GARY MAYES
- Title
- REGIONAL DIRECTOR
- Phone
- (423) 279-2777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Public Health or Welfare |
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