NPI 1437298817

Tn Dept of Health

Organisation Public Health or Welfare Agency Johnson City, TN

Practice location

Address: 1233 Southwest Ave.Ext., Johnson City, TN 37604-6519
Phone: (423) 979-4607
Fax: (423) 979-3261
Mailing address: 416 E Main St, Jonesborough, TN 37659-1416

Authorised official

Name: Patricia L Bradley
Title: Phn 3
Phone: (423) 979-4607

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X Licence RN0000062004 (TN)

Other Public Health or Welfare providers in Tennessee →

Registry record

NPI: 1437298817
Entity type: Organization
NPI issued: 5 Feb 2007
Record last updated: 2 Jul 2008

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.