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State of Tennessee

NPI #1699795468 in Tullahoma, Tennessee

Provider Information

NPI Number
1699795468
Entity Type
Organization
Organization Name
State of Tennessee
Primary Specialty
Public Health or Welfare
Enumeration Date
Jul 21, 2006
Last Updated
Sep 25, 2012

Practice Location

Address
615 WILSON AVE
City
Tullahoma
State
Tennessee
ZIP Code
37388-3264
Phone
(931) 455-9369

Authorized Official

Name
BARBARA J WHITWELL
Title
OFFICE SUPERVISOR
Phone
(931) 490-8334

Specialties & Taxonomy Codes

Specialty
Public Health or Welfare

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