Organization · Type 2 NPI
State of Tennessee
Public Health or Welfare Agency · Wartburg, TN
NPI number
1679611404
Active
Practice location
1103 Knoxville Highway
Wartburg, TN 37887
Fax (423) 346-2349
Mailing address
PO Box 59019
Knoxville, TN 37950-9019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency Primary | 251K00000X | None listed |
Public Health or Welfare Agency: Definition to come...
About NPI 1679611404
State of Tennessee's National Provider Identifier is 1679611404, issued on Feb 2, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Wartburg, TN. The record was last updated on Aug 16, 2013.