Organization · Type 2 NPI

State of Tennessee

Public Health or Welfare Agency · Dover, TN

NPI number 1083767883 Active

About NPI 1083767883

State of Tennessee's National Provider Identifier is 1083767883, issued on Jan 18, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Dover, TN. The record was last updated on Aug 28, 2012.