NPI 1003090036
State of Tennessee
Practice location
- Address
- 214 West Longview Drive, Portland, TN 37148
- Phone
- (615) 325-5237
- Fax
- (615) 325-5549
Authorised official
- Name
- Annette Haley
- Title
- Regional Director
- Phone
- (615) 650-7000
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1003090036
- Entity type
- Organization
- NPI issued
- 27 Dec 2007
- Record last updated
- 28 Aug 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.