Organization · Type 2 NPI
State of Tennessee
Public Health or Welfare Agency · Jacksboro, TN
NPI number
1962540880
Active
Practice location
162 Sharp Perkins Road
Jacksboro, TN 37757
Fax (423) 562-1593
Mailing address
PO Box 59019
Knoxville, TN 37950-9019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency Primary | 251K00000X | None listed |
Public Health or Welfare Agency: Definition to come...
3 other providers at this address
About NPI 1962540880
State of Tennessee's National Provider Identifier is 1962540880, issued on Feb 2, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Jacksboro, TN. The record was last updated on Aug 23, 2010.