NPI 1730227059
State of Tennessee
Practice location
- Address
- 1233 Southwest Ave. Ext., Johnson City, TN 37604
- Phone
- (423) 979-3200
- Fax
- (423) 979-3267
Authorised official
- Name
- Fred Adams
- Title
- Regional Director
- Phone
- (423) 979-3200
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1730227059
- Entity type
- Organization
- NPI issued
- 1 Feb 2007
- Record last updated
- 22 Aug 2020
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.