Organization · Type 2 NPI

State of Tennessee

Public Health or Welfare Agency · Waverly, TN

NPI number 1760534556 Active

Practice location

725 Holly Ln
Waverly, TN 37185-3284

Fax (931) 296-4590

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency Primary 251K00000XNone listed

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

4 other providers at this address

About NPI 1760534556

State of Tennessee's National Provider Identifier is 1760534556, issued on Jan 18, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Waverly, TN. The record was last updated on Aug 28, 2012.