Organization · Type 2 NPI

State of Tennessee

Public Health or Welfare Agency · Fairview, TN

NPI number 1386797058 Active

About NPI 1386797058

State of Tennessee's National Provider Identifier is 1386797058, issued on Jan 18, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Fairview, TN. The record was last updated on Aug 28, 2012.