Organization
FIRST TENNESSEE DEVELOPMENT DISTRICT
Active
Organization
FIRST TENNESSEE DEVELOPMENT DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN REID (EXECUTIVE DIRECTOR)
(423) 722-5088
Entity
Organization
Contact information
Practice address
207 N BOONE ST, SUITE 800, JOHNSON CITY, TN 37604-5675
(423) 928-0224
(423) 928-5209
Mailing address
207 N BOONE ST, SUITE 800, JOHNSON CITY, TN 37604-5675
(423) 928-0224
(423) 928-5209
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445752
—
TN
Enumeration date
05/25/2007
Last updated
08/22/2020
Update your record
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