Organization · Type 2 NPI
State of Tennessee
Public Health or Welfare Agency · Evensville, TN
NPI number
1811034440
Active
Practice location
344 Eagle Lane
Evensville, TN 37332
Fax (423) 775-8078
Mailing address
PO Box 440
Evensville, TN 37332-0440
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency Primary | 251K00000X | None listed |
Public Health or Welfare Agency: Definition to come...
2 other providers at this address
About NPI 1811034440
State of Tennessee's National Provider Identifier is 1811034440, issued on Jan 31, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Evensville, TN. The record was last updated on Feb 8, 2022.