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State Of Tennessee
Public Health or Welfare Agency in Wartburg, Tennessee
NPI 1679611404

State Of Tennessee is a Public Health or Welfare Agency based in Knoxville, TN. State Of Tennessee practices in Wartburg, TN. The NPI Number for State Of Tennessee is 1679611404 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 1103 Knoxville Highway, Wartburg, TN and can be reached out via phone at 423-346-6272 and via fax at 423-346-2349.

Location: 1103 Knoxville Highway, Wartburg, TN, 37950-9019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679611404
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
1103 Knoxville Highway, Wartburg, TN, 37950-9019
Phone Number
423-346-6272
Fax Number
423-346-2349
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4447827 05 TN
157575 01 TN BLUECROSS BLUESHIELD TN
institution
Provider Business Practice Location Address Details
Address
1103 Knoxville Highway
City
Wartburg
State
Tennessee
Zip
37887
Phone Number
423-346-6272
Fax Number
423-346-2349
person
Provider Business Mailing Address Details
Address
1103 Knoxville Highway
City
Wartburg
State
Tennessee
Zip
37887
Phone Number
423-346-6272
Fax Number
423-346-2349
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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