Organization · Type 2 NPI
State of Tennessee
Public Health or Welfare Agency · Covington, TN
NPI number
1518017771
Active
Practice location
4700 Mueller Brass Road
Covington, TN 38019
Fax (901) 476-0229
Mailing address
PO Box 685, 4700 Mueller Brass Road
Covington, TN 38019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency Primary | 251K00000X | None listed |
Public Health or Welfare Agency: Definition to come...
Another provider at this address
About NPI 1518017771
State of Tennessee's National Provider Identifier is 1518017771, issued on Jan 11, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Covington, TN. The record was last updated on Aug 25, 2010.