NPI 1447397666
State of Tennessee
Practice location
- Address
- 219 Princeton Rd, Johnson City, TN 37601-2062
- Phone
- (423) 979-4609
- Fax
- (423) 979-3271
Authorised official
- Name
- James Timothy Carson
- Title
- County Director 3
- Phone
- (423) 975-7927
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1447397666
- Entity type
- Organization
- NPI issued
- 30 Jan 2007
- Record last updated
- 21 Jul 2022
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.