institution
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. You can also correspond with State Of Tennessee through the mailing address at 615 WILSON AVE, TULLAHOMA, TN - 37388-3264 (mailing address contact number: 931-455-9369).

Location: 615 Wilson Ave, Tullahoma, TN, 37388-3264
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
State
Zip
37388-3264
Phone Number
931-455-9369
Fax Number
931-455-4827
person
Provider Business Mailing Address Details
Address
615 Wilson Ave
City
State
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
License No.
()
Definition
Definition to come...
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