Organization · Type 2 NPI

State of Tennessee

Public Health or Welfare Agency · Tullahoma, TN

NPI number 1699795468 Active

About NPI 1699795468

State of Tennessee's National Provider Identifier is 1699795468, issued on Jul 21, 2006. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Tullahoma, TN. The record was last updated on Sep 25, 2012.