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State Of Tennessee
Public Health or Welfare Agency in Jacksboro, Tennessee
NPI 1962540880

State Of Tennessee is a Public Health or Welfare Agency based in Knoxville, TN. State Of Tennessee practices in Jacksboro, TN. The NPI Number for State Of Tennessee is 1962540880 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 162 Sharp Perkins Road, Jacksboro, TN and can be reached out via phone at 423-562-8351 and via fax at 423-562-1593.

Location: 162 Sharp Perkins Road, Jacksboro, TN, 37950-9019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962540880
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
162 Sharp Perkins Road, Jacksboro, TN, 37950-9019
Phone Number
423-562-8351
Fax Number
423-562-1593
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
154308 01 TN BLUECROSS BLUESHIELD TN
4447836 05 TN
institution
Provider Business Practice Location Address Details
Address
162 Sharp Perkins Road
City
Jacksboro
State
Tennessee
Zip
37757
Phone Number
423-562-8351
Fax Number
423-562-1593
person
Provider Business Mailing Address Details
Address
162 Sharp Perkins Road
City
Jacksboro
State
Tennessee
Zip
37757
Phone Number
423-562-8351
Fax Number
423-562-1593
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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