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Organization

STATE OF TENNESSEE

Active
Other names
N E Regional Health Office
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIMBERLI L FITZPATRICK (ACCOUNT)
(423) 979-4609
Entity
Organization

Contact information

Practice address
1233 SOUTHWEST AVE EXT, JOHNSON CITY, TN 37604-6519
(423) 979-3200
(423) 979-3271
Mailing address
1233 SOUTHWEST AVE EXT, JOHNSON CITY, TN 37604-6519
(423) 979-3200
(423) 979-3271

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Enumeration date
01/21/2011
Last updated
01/21/2011
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