Organization · Type 2 NPI

State of Tennessee

Public Health or Welfare Agency · Clarksville, TN

NPI number 1194878629 Active

Practice location

330 Pageant Ln
Clarksville, TN 37040-3854

Fax (931) 645-9019

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency Primary 251K00000XNone listed

Public Health or Welfare Agency: Definition to come...

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About NPI 1194878629

State of Tennessee's National Provider Identifier is 1194878629, issued on Jan 19, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Clarksville, TN. The record was last updated on Aug 28, 2012.