Organization · Type 2 NPI
State of Tennesseee
Public Health or Welfare Agency · Decaturville, TN
NPI number
1184774341
Active
Practice location
155 North Pleasant Street
Decaturville, TN 38329
Fax (731) 852-3794
Mailing address
PO Box 178, 155 North Pleasant Street
Decaturville, TN 38329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency Primary | 251K00000X | None listed |
Public Health or Welfare Agency: Definition to come...
2 other providers at this address
About NPI 1184774341
State of Tennesseee's National Provider Identifier is 1184774341, issued on Jan 11, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Decaturville, TN. The record was last updated on Aug 25, 2010.