institution
State Of Tennessee
Public Health or Welfare Agency in Centerville, Tennessee
NPI 1710907589

State Of Tennessee is a Public Health or Welfare Agency based in Centerville, TN. State Of Tennessee practices in Centerville, TN. The NPI Number for State Of Tennessee is 1710907589 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 111 Murphree Ave, Centerville, TN and can be reached out via phone at 931-729-3516 and via fax at 931-729-5029.

Location: 111 Murphree Ave, Centerville, TN, 37033-1418
institution
Provider Profile Details
NPI Number
1710907589
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
111 Murphree Ave, Centerville, TN, 37033-1418
Phone Number
931-729-3516
Fax Number
931-729-5029
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0009416 01 TN BC/BS & TENNCARE SELECT
4448006 05 TN
institution
Provider Business Practice Location Address Details
Address
111 Murphree Ave
City
State
Zip
37033-1418
Phone Number
931-729-3516
Fax Number
931-729-5029
person
Provider Business Mailing Address Details
Address
111 Murphree Ave
City
State
Zip
37033-1418
Phone Number
931-729-3516
Fax Number
931-729-5029
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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