NPI 1083767883
State of Tennessee
Practice location
- Address
- 1021 Spring St, Dover, TN 37058-3302
- Phone
- (931) 232-5329
- Fax
- (931) 232-7247
Authorised official
- Name
- Annette M. Haley
- Title
- Regional Director
- Phone
- (615) 650-7000
Registered specialties (2)
Public Health or Welfare Agency
Primary
Federally Qualified Health Center (FQHC)
Registry record
- NPI
- 1083767883
- Entity type
- Organization
- NPI issued
- 18 Jan 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.