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State Of Tennessee
Public Health or Welfare Agency in Lawrenceburg, Tennessee
NPI 1336169127

State Of Tennessee is a Public Health or Welfare Agency based in Lawrenceburg, TN. State Of Tennessee practices in Lawrenceburg, TN. The NPI Number for State Of Tennessee is 1336169127 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 2379 Buffalo Rd, Lawrenceburg, TN and can be reached out via phone at 931-762-9406 and via fax at 931-766-1592.

Location: 2379 Buffalo Rd, Lawrenceburg, TN, 38464-4810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336169127
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
2379 Buffalo Rd, Lawrenceburg, TN, 38464-4810
Phone Number
931-762-9406
Fax Number
931-766-1592
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0141076 01 TN BC/BS & TENNCARE SELECT
4448005 05 TN
institution
Provider Business Practice Location Address Details
Address
2379 Buffalo Rd
City
Lawrenceburg
State
Tennessee
Zip
38464-4810
Phone Number
931-762-9406
Fax Number
931-766-1592
person
Provider Business Mailing Address Details
Address
2379 Buffalo Rd
City
Lawrenceburg
State
Tennessee
Zip
38464-4810
Phone Number
931-762-9406
Fax Number
931-766-1592
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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