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State Of Tennessee
Public Health or Welfare Agency in Johnson City, Tennessee
NPI 1447397666

State Of Tennessee is a Public Health or Welfare Agency based in Johnson City, TN. State Of Tennessee practices in Johnson City, TN. The NPI Number for State Of Tennessee is 1447397666 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 219 Princeton Rd, Johnson City, TN and can be reached out via phone at 423-979-4609 and via fax at 423-979-3271.

Location: 219 Princeton Rd, Johnson City, TN, 37601-2062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447397666
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
219 Princeton Rd, Johnson City, TN, 37601-2062
Phone Number
423-979-4609
Fax Number
423-979-3271
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
444-7994 05 TN
institution
Provider Business Practice Location Address Details
Address
219 Princeton Rd
City
Johnson City
State
Tennessee
Zip
37601-2062
Phone Number
423-979-4609
Fax Number
423-979-3271
person
Provider Business Mailing Address Details
Address
219 Princeton Rd
City
Johnson City
State
Tennessee
Zip
37601-2062
Phone Number
423-979-4609
Fax Number
423-979-3271
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
(Tennessee)
Definition
Definition to come...
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