State of Tennessee
NPI #1669527230 in Madisonville, Tennessee
Provider Information
- NPI Number
- 1669527230
- Entity Type
- Organization
- Organization Name
- State of Tennessee
- Primary Specialty
- Clinic/Center - Public Health, State or Local
- Enumeration Date
- Jan 24, 2007
- Last Updated
- Nov 16, 2009
Practice Location
- Address
- 3469 NEW HIGHWAY 68
- City
- Madisonville
- State
- Tennessee
- ZIP Code
- 37354
- Phone
- (423) 442-3993
Authorized Official
- Name
- MARIANNE F SHARP
- Title
- REGIONAL ACCOUNTANT
- Phone
- (865) 549-5266
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Public Health, State or Local — Public Health, State or Local |
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