NPI 1124048996
State of Tennessee
Practice location
- Address
- 209 S Cedar Ln, Pulaski, TN 38478-3502
- Phone
- (931) 363-5506
- Fax
- (931) 424-7020
Authorised official
- Name
- Barbara J Whitwell
- Title
- Office Supervisor
- Phone
- (930) 490-8334
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1124048996
- Entity type
- Organization
- NPI issued
- 21 Jul 2006
- Record last updated
- 25 Sep 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.