Organization · Type 2 NPI

State of Tennessee

Public Health or Welfare Agency · White Bluff, TN

NPI number 1205988144 Active

About NPI 1205988144

State of Tennessee's National Provider Identifier is 1205988144, issued on Jan 18, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in White Bluff, TN. The record was last updated on Aug 28, 2012.