NPI 1366592552
State of Tennessee
Practice location
- Address
- 295 Summar Ave, Jackson, TN 38301
- Phone
- (731) 421-6730
- Fax
- (731) 421-5000
Authorised official
- Name
- Marilyn Barnes
- Title
- Regional Director
- Phone
- (731) 421-6700
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1366592552
- Entity type
- Organization
- NPI issued
- 11 Jan 2007
- Record last updated
- 1 Sep 2010
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.