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State Of Tennessee
Public Health or Welfare Agency in Tullahoma, Tennessee
NPI 1699795468

State Of Tennessee is a Public Health or Welfare Agency based in Tullahoma, TN. State Of Tennessee practices in Tullahoma, TN. The NPI Number for State Of Tennessee is 1699795468 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 615 Wilson Ave, Tullahoma, TN and can be reached out via phone at 931-455-9369 and via fax at 931-455-4827.

Location: 615 Wilson Ave, Tullahoma, TN, 37388-3264
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699795468
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
615 Wilson Ave, Tullahoma, TN, 37388-3264
Phone Number
931-455-9369
Fax Number
931-455-4827
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2002854 01 TN BC/BS & TENNCARE SELECT
4448008 05 TN
institution
Provider Business Practice Location Address Details
Address
615 Wilson Ave
City
Tullahoma
State
Tennessee
Zip
37388-3264
Phone Number
931-455-9369
Fax Number
931-455-4827
person
Provider Business Mailing Address Details
Address
615 Wilson Ave
City
Tullahoma
State
Tennessee
Zip
37388-3264
Phone Number
931-455-9369
Fax Number
931-455-4827
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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