NPI 1114117751

Northwest Tennessee Development District

Organisation Point of Service Martin, TN

Practice location

Address: 124 Weldon Dr, Martin, TN 38237-1308
Phone: (731) 587-4213
Mailing address: 124 Weldon Dr P. O. Box 963, Martin, TN 38237-1308

Authorised official

Name: John a Bucy
Title: Executive Director
Phone: (731) 587-4213

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Tennessee →

Registry record

NPI: 1114117751
Entity type: Organization
NPI issued: 30 Jul 2007
Record last updated: 31 Oct 2007

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.