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State Of Tennessee
Public Health or Welfare Agency in Lewisburg, Tennessee
NPI 1861413593

State Of Tennessee is a Public Health or Welfare Agency based in Lewisburg, TN. State Of Tennessee practices in Lewisburg, TN. The NPI Number for State Of Tennessee is 1861413593 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 206 Legion Ave, Lewisburg, TN and can be reached out via phone at 931-359-1551 and via fax at 931-359-0542.

Location: 206 Legion Ave, Lewisburg, TN, 37091-2898
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861413593
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
206 Legion Ave, Lewisburg, TN, 37091-2898
Phone Number
931-359-1551
Fax Number
931-359-0542
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4448002 05 TN
0134423 01 TN BC/BS & TENNCARE SELECT
institution
Provider Business Practice Location Address Details
Address
206 Legion Ave
City
Lewisburg
State
Tennessee
Zip
37091-2898
Phone Number
931-359-1551
Fax Number
931-359-0542
person
Provider Business Mailing Address Details
Address
206 Legion Ave
City
Lewisburg
State
Tennessee
Zip
37091-2898
Phone Number
931-359-1551
Fax Number
931-359-0542
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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