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State Of Tennessee
Public Health or Welfare Agency in Loudon, Tennessee
NPI 1316085236

State Of Tennessee is a Public Health or Welfare Agency based in Knoxville, TN. State Of Tennessee practices in Loudon, TN. The NPI Number for State Of Tennessee is 1316085236 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 600 Rayder Ave, Loudon, TN and can be reached out via phone at 865-458-2514 and via fax at 865-458-8587.

Location: 600 Rayder Ave, Loudon, TN, 37950-9019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316085236
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
600 Rayder Ave, Loudon, TN, 37950-9019
Phone Number
865-458-2514
Fax Number
865-458-8587
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4447829 05 TN
2000191 01 TN BLUECROSS BLUESHIELD TN
institution
Provider Business Practice Location Address Details
Address
600 Rayder Ave
City
Loudon
State
Tennessee
Zip
37774-1050
Phone Number
865-458-2514
Fax Number
865-458-8587
person
Provider Business Mailing Address Details
Address
600 Rayder Ave
City
Loudon
State
Tennessee
Zip
37774-1050
Phone Number
865-458-2514
Fax Number
865-458-8587
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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