Organization
STATE OF TENNESSEE
Active
Other names
Humphreys County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE HALEY (REGIONAL DIRECTOR)
(615) 650-7000
Entity
Organization
Contact information
Practice address
725 HOLLY LN, WAVERLY, TN 37185-3284
(931) 296-2231
(931) 296-4590
Mailing address
725 HOLLY LN, WAVERLY, TN 37185-3284
(931) 296-2231
(931) 296-4590
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4448022
—
TN
Enumeration date
01/18/2007
Last updated
08/28/2012
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