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State Of Tennessee
Public Health or Welfare Agency in Hohenwald, Tennessee
NPI 1467486613

State Of Tennessee is a Public Health or Welfare Agency based in Hohenwald, TN. State Of Tennessee practices in Hohenwald, TN. The NPI Number for State Of Tennessee is 1467486613 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 51 Smith Ave, Hohenwald, TN and can be reached out via phone at 931-796-2204 and via fax at 931-796-1625.

Location: 51 Smith Ave, Hohenwald, TN, 38462-1124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467486613
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
51 Smith Ave, Hohenwald, TN, 38462-1124
Phone Number
931-796-2204
Fax Number
931-796-1625
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0009421 01 TN BC/BS & TENNCARE SELECT
164774 01 TN DORAL DENTAL
4448004 05 TN
institution
Provider Business Practice Location Address Details
Address
51 Smith Ave
City
Hohenwald
State
Tennessee
Zip
38462-1124
Phone Number
931-796-2204
Fax Number
931-796-1625
person
Provider Business Mailing Address Details
Address
51 Smith Ave
City
Hohenwald
State
Tennessee
Zip
38462-1124
Phone Number
931-796-2204
Fax Number
931-796-1625
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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