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State Of Tennessee
Public Health or Welfare Agency in Pulaski, Tennessee
NPI 1124048996

State Of Tennessee is a Public Health or Welfare Agency based in Pulaski, TN. State Of Tennessee practices in Pulaski, TN. The NPI Number for State Of Tennessee is 1124048996 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 209 S Cedar Ln, Pulaski, TN and can be reached out via phone at 931-363-5506 and via fax at 931-424-7020.

Location: 209 S Cedar Ln, Pulaski, TN, 38478-3502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124048996
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
209 S Cedar Ln, Pulaski, TN, 38478-3502
Phone Number
931-363-5506
Fax Number
931-424-7020
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2007838 01 TN BC/BS & TENNCARE SELECT
4448007 05 TN
3068448 01 TN TENNCARE SELECT PCP
institution
Provider Business Practice Location Address Details
Address
209 S Cedar Ln
City
Pulaski
State
Tennessee
Zip
38478-3502
Phone Number
931-363-5506
Fax Number
931-424-7020
person
Provider Business Mailing Address Details
Address
209 S Cedar Ln
City
Pulaski
State
Tennessee
Zip
38478-3502
Phone Number
931-363-5506
Fax Number
931-424-7020
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
()
Definition
Definition to come...
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