Organization · Type 2 NPI
State of Tennessee
Public Health or Welfare Agency · Dyersburg, TN
NPI number
1093865263
Active
Practice location
1755 Parr Avenue
Dyersburg, TN 38024
Fax (731) 285-2610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency Primary | 251K00000X | None listed |
Public Health or Welfare Agency: Definition to come...
Another provider at this address
About NPI 1093865263
State of Tennessee's National Provider Identifier is 1093865263, issued on Jan 11, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Dyersburg, TN. The record was last updated on Sep 1, 2010.