institution
State Of Tennessee
State or Local Public Health Clinic/Center in Maryville, Tennessee
NPI 1306991286

State Of Tennessee is a State or Local Public Health Clinic/Center based in Knoxville, TN and is specialized in Public Health, State or Local. State Of Tennessee practices in Maryville, TN. The NPI Number for State Of Tennessee is 1306991286 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 301 Mcghee St, Maryville, TN and can be reached out via phone at 865-983-4582 and via fax at 865-983-4574. You can also correspond with State Of Tennessee through the mailing address at PO BOX 59019, KNOXVILLE, TN - 37950-9019 (mailing address contact number: 865-983-4582).

Location: 301 Mcghee St, Maryville, TN, 37950-9019
institution
Provider Profile Details
NPI Number
1306991286
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
301 Mcghee St, Maryville, TN, 37950-9019
Phone Number
865-983-4582
Fax Number
865-983-4574
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4447837 05 TN
2008167 01 TN BLUECROSS BLUESHEILD TN
institution
Provider Business Practice Location Address Details
Address
301 Mcghee St
City
State
Zip
37801-6811
Phone Number
865-983-4582
Fax Number
865-983-4574
person
Provider Business Mailing Address Details
Address
Po Box 59019
City
State
Zip
37950-9019
Phone Number
865-983-4582
Fax Number
865-983-4574
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Public Health, State or Local
Taxonomy
License No.
()
Definition
Definition to come...
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