Organization · Type 2 NPI
State of Tennessee
Public Health or Welfare Agency · Somerville, TN
NPI number
1730239997
Active
Practice location
90 Yum Yum Road
Somerville, TN 38068
Fax (901) 465-5245
Mailing address
PO 188, 90 Yum Yum Road
Somerville, TN 38068
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 1730239997
State of Tennessee's National Provider Identifier is 1730239997, issued on Jan 11, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Somerville, TN. The record was last updated on Aug 25, 2010.