State of Tennessee

NPI #1750427175 in Erwin, Tennessee

Provider Information

NPI Number
1750427175
Entity Type
Organization
Organization Name
State of Tennessee
Primary Specialty
Public Health or Welfare
Enumeration Date
Jan 30, 2007
Last Updated
May 8, 2012

Practice Location

Address
101 OKOLONA DR
City
Erwin
ZIP Code
37650-1387
Phone
(423) 979-3200

Authorized Official

Name
MS. KIMBERLI LENISE FITZPATRICK, B.S.
Title
ACCOUNTANT
Phone
(423) 979-3200

Specialties & Taxonomy Codes

Specialty
Public Health or Welfare

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