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State Of Tennessee
Public Health or Welfare Agency in Tiptonville, Tennessee
NPI 1871643031

State Of Tennessee is a Public Health or Welfare Agency based in Tiptonville, TN. State Of Tennessee practices in Tiptonville, TN. The NPI Number for State Of Tennessee is 1871643031 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 400 Hwy 78 South, Tiptonville, TN and can be reached out via phone at 731-253-9954 and via fax at 731-253-9956.

Location: 400 Hwy 78 South, Tiptonville, TN, 38079
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871643031
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
400 Hwy 78 South, Tiptonville, TN, 38079
Phone Number
731-253-9954
Fax Number
731-253-9956
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
4448142 05 TN
institution
Provider Business Practice Location Address Details
Address
400 Hwy 78 South
City
Tiptonville
State
Tennessee
Zip
38079
Phone Number
731-253-9954
Fax Number
731-253-9956
person
Provider Business Mailing Address Details
Address
400 Hwy 78 South
City
Tiptonville
State
Tennessee
Zip
38079
Phone Number
731-253-9954
Fax Number
731-253-9956
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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