Organization · Type 2 NPI

State of Tennessee

Public Health or Welfare Agency · Johnson City, TN

NPI number 1801191879 Active

Practice location

1233 Southwest Ave Ext
Johnson City, TN 37604-6519

Call (423) 979-3200 Map

Fax (423) 979-3271

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency Primary 251K00000XNone listed

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

2 other providers at this address

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About NPI 1801191879

State of Tennessee's National Provider Identifier is 1801191879, issued on Jan 21, 2011. 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 Jan 21, 2011.