State of Tennessee
NPI #1871643031 in Tiptonville, Tennessee
Provider Information
- NPI Number
- 1871643031
- Entity Type
- Organization
- Organization Name
- State of Tennessee
- Primary Specialty
- Public Health or Welfare
- Enumeration Date
- Jan 11, 2007
- Last Updated
- Sep 1, 2010
Practice Location
- Address
- 400 HWY 78 SOUTH
- City
- Tiptonville
- State
- Tennessee
- ZIP Code
- 38079
- Phone
- (731) 253-9954
Authorized Official
- Name
- MR. ANTHONY W HARDEN
- Title
- REGIONAL DIRECTOR
- Phone
- (731) 421-6700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Public Health or Welfare |
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