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State Of Tennessee
Public Health or Welfare Agency in Waynesboro, Tennessee
NPI 1902827363

State Of Tennessee is a Public Health or Welfare Agency based in Waynesboro, TN. State Of Tennessee practices in Waynesboro, TN. The NPI Number for State Of Tennessee is 1902827363 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 102 J V Mangubat Dr, Waynesboro, TN and can be reached out via phone at 931-722-3292 and via fax at 931-722-7249.

Location: 102 J V Mangubat Dr, Waynesboro, TN, 38485-2439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902827363
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
102 J V Mangubat Dr, Waynesboro, TN, 38485-2439
Phone Number
931-722-3292
Fax Number
931-722-7249
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0156761 01 TN BC/BS & TENNCARE SELECT
4447998 05 TN
institution
Provider Business Practice Location Address Details
Address
102 J V Mangubat Dr
City
Waynesboro
State
Tennessee
Zip
38485-2439
Phone Number
931-722-3292
Fax Number
931-722-7249
person
Provider Business Mailing Address Details
Address
102 J V Mangubat Dr
City
Waynesboro
State
Tennessee
Zip
38485-2439
Phone Number
931-722-3292
Fax Number
931-722-7249
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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