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State Of Tennessee
Public Health or Welfare Agency in Maynardville, Tennessee
NPI 1538207311

State Of Tennessee is a Public Health or Welfare Agency based in Knoxville, TN. State Of Tennessee practices in Maynardville, TN. The NPI Number for State Of Tennessee is 1538207311 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 130 Veterans St, Maynardville, TN and can be reached out via phone at 865-992-3867 and via fax at 865-992-7238.

Location: 130 Veterans St, Maynardville, TN, 37950-9019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538207311
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
130 Veterans St, Maynardville, TN, 37950-9019
Phone Number
865-992-3867
Fax Number
865-992-7238
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
169652 01 TN BLUECROSS BLUE SHIELD TN
4447823 05 TN
institution
Provider Business Practice Location Address Details
Address
130 Veterans St
City
Maynardville
State
Tennessee
Zip
37807-3420
Phone Number
865-992-3867
Fax Number
865-992-7238
person
Provider Business Mailing Address Details
Address
130 Veterans St
City
Maynardville
State
Tennessee
Zip
37807-3420
Phone Number
865-992-3867
Fax Number
865-992-7238
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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