Organization
WEST TENNESSEE REGIONAL HEALTH OFFICE CHILDREN SPECIAL SERVICES
Active
Other names
State of Tennessee
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN BARNES (REGIONAL DIRECTOR)
(731) 421-6700
Entity
Organization
Contact information
Practice address
295 SUMMAR AVE, JACKSON, TN 38301
(731) 421-6740
(731) 245-7012
Mailing address
295 SUMMAR AVE, JACKSON, TN 38301
(731) 421-6740
(731) 245-7012
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4448157
—
TN
Enumeration date
01/11/2007
Last updated
03/17/2008
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