institution
State Of Tennessee
Public Health or Welfare Agency in New Tazewell, Tennessee
NPI 1184762163

State Of Tennessee is a Public Health or Welfare Agency based in Knoxville, TN. State Of Tennessee practices in New Tazewell, TN. The NPI Number for State Of Tennessee is 1184762163 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 620 Davis Dr, New Tazewell, TN and can be reached out via phone at 423-626-4291 and via fax at 423-626-2525.

Location: 620 Davis Dr, New Tazewell, TN, 37950-9019
institution
Provider Profile Details
NPI Number
1184762163
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
620 Davis Dr, New Tazewell, TN, 37950-9019
Phone Number
423-626-4291
Fax Number
423-626-2525
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9428 01 TN BLUECROSS BLUESHIELD TN
4447835 05 TN
institution
Provider Business Practice Location Address Details
Address
620 Davis Dr
City
State
Zip
37825-2152
Phone Number
423-626-4291
Fax Number
423-626-2525
person
Provider Business Mailing Address Details
Address
620 Davis Dr
City
State
Zip
37825-2152
Phone Number
423-626-4291
Fax Number
423-626-2525
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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