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State Of Tennessee
Public Health or Welfare Agency in Bolivar, Tennessee
NPI 1841340007

State Of Tennessee is a Public Health or Welfare Agency based in Bolivar, TN. State Of Tennessee practices in Bolivar, TN. The NPI Number for State Of Tennessee is 1841340007 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 10825 Old Hwy 64, Bolivar, TN and can be reached out via phone at 731-658-5291 and via fax at 731-658-6536.

Location: 10825 Old Hwy 64, Bolivar, TN, 38008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841340007
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
10825 Old Hwy 64, Bolivar, TN, 38008
Phone Number
731-658-5291
Fax Number
731-658-6536
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
4448066 05 TN
institution
Provider Business Practice Location Address Details
Address
10825 Old Hwy 64
City
Bolivar
State
Tennessee
Zip
38008
Phone Number
731-658-5291
Fax Number
731-658-6536
person
Provider Business Mailing Address Details
Address
10825 Old Hwy 64
City
Bolivar
State
Tennessee
Zip
38008
Phone Number
731-658-5291
Fax Number
731-658-6536
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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