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State Of Tennessee
Public Health or Welfare Agency in Waverly, Tennessee
NPI 1760534556

State Of Tennessee is a Public Health or Welfare Agency based in Waverly, TN. State Of Tennessee practices in Waverly, TN. The NPI Number for State Of Tennessee is 1760534556 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 725 Holly Ln, Waverly, TN and can be reached out via phone at 931-296-2231 and via fax at 931-296-4590.

Location: 725 Holly Ln, Waverly, TN, 37185-3284
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760534556
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
725 Holly Ln, Waverly, TN, 37185-3284
Phone Number
931-296-2231
Fax Number
931-296-4590
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4448022 05 TN
institution
Provider Business Practice Location Address Details
Address
725 Holly Ln
City
Waverly
State
Tennessee
Zip
37185-3284
Phone Number
931-296-2231
Fax Number
931-296-4590
person
Provider Business Mailing Address Details
Address
725 Holly Ln
City
Waverly
State
Tennessee
Zip
37185-3284
Phone Number
931-296-2231
Fax Number
931-296-4590
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
(Tennessee)
Definition
Definition to come...
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