Organization · Type 2 NPI

State of Tennessee

Public Health or Welfare Agency · Decatur, TN

NPI number 1366589293 Active

About NPI 1366589293

State of Tennessee's National Provider Identifier is 1366589293, issued on Jan 31, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Decatur, TN. The record was last updated on Nov 21, 2022.