Organization · Type 2 NPI

State of Tennessee

Public Health or Welfare Agency · Trenton, TN

NPI number 1073650461 Active

Practice location

1250 Manufactures Row
Trenton, TN 38382

Fax (731) 855-7603

Mailing address

PO Box 8, 1250 Manufactures Row
Trenton, TN 38382

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency Primary 251K00000XNone listed

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About NPI 1073650461

State of Tennessee's National Provider Identifier is 1073650461, issued on Feb 1, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Trenton, TN. The record was last updated on Aug 25, 2010.