Organization
STATE OF TENNESSEE
Active
Other names
Williamson County Health Dept-Fairview Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE HALEY (REGIONAL DIRECTOR)
(615) 650-7000
Entity
Organization
Contact information
Practice address
2629 FAIRVIEW BLVD, FAIRVIEW, TN 37062-9084
(615) 799-2389
(615) 799-2260
Mailing address
2629 FAIRVIEW BLVD, FAIRVIEW, TN 37062-9084
(615) 799-2389
(615) 799-2260
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4448313
—
TN
Enumeration date
01/18/2007
Last updated
08/28/2012
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