Organization · Type 2 NPI

State of Tennessee

Public Health or Welfare Agency · Centerville, TN

NPI number 1710907589 Active

About NPI 1710907589

State of Tennessee's National Provider Identifier is 1710907589, issued on Jul 21, 2006. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Centerville, TN. The record was last updated on Sep 25, 2012.