NPI 1992010672
State of Tennessee
Practice location
- Address
- 295 Summar Dr, Jackson, TN 38301-3905
- Phone
- (731) 421-6700
- Fax
- (731) 935-7093
Authorised official
- Name
- Marilyn Barnes
- Title
- Regional Director
- Phone
- (731) 421-6700
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1992010672
- Entity type
- Organization
- NPI issued
- 18 Aug 2010
- Record last updated
- 20 Aug 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.