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State Of Tennessee
Public Health or Welfare Agency in Shelbyville, Tennessee
NPI 1215961461

State Of Tennessee is a Public Health or Welfare Agency based in Shelbyville, TN. State Of Tennessee practices in Shelbyville, TN. The NPI Number for State Of Tennessee is 1215961461 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 140 Dover St, Shelbyville, TN and can be reached out via phone at 931-684-3426 and via fax at 931-684-5860.

Location: 140 Dover St, Shelbyville, TN, 37160-2776
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215961461
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
140 Dover St, Shelbyville, TN, 37160-2776
Phone Number
931-684-3426
Fax Number
931-684-5860
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0084027 01 TN BC/BS & TENNCARE SELECT
4448010 05 TN
institution
Provider Business Practice Location Address Details
Address
140 Dover St
City
Shelbyville
State
Tennessee
Zip
37160-2776
Phone Number
931-684-3426
Fax Number
931-684-5860
person
Provider Business Mailing Address Details
Address
140 Dover St
City
Shelbyville
State
Tennessee
Zip
37160-2776
Phone Number
931-684-3426
Fax Number
931-684-5860
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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