Organization · Type 2 NPI

State of Tennessee

Public Health or Welfare Agency · Johnson City, TN

NPI number 1730227059 Active

Practice location

1233 Southwest Ave. Ext.
Johnson City, TN 37604

Call (423) 979-3200 Map

Fax (423) 979-3267

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency Primary 251K00000XNone listed

Public Health or Welfare Agency: Definition to come...

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About NPI 1730227059

State of Tennessee's National Provider Identifier is 1730227059, issued on Feb 1, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Johnson City, TN. The record was last updated on Aug 22, 2020.