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State of Tennessee

NPI #1740331792 in Jamestown, Tennessee

Provider Information

NPI Number
1740331792
Entity Type
Organization
Organization Name
State of Tennessee
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jan 16, 2007
Last Updated
Jan 7, 2025

Practice Location

Address
240 COLONIAL CIRCLE
Address 2
SUITE A
City
Jamestown
State
Tennessee
ZIP Code
38556-3924
Phone
(931) 879-9936

Authorized Official

Name
TAMMY STEWART
Title
CFO
Phone
(931) 520-4203

Specialties & Taxonomy Codes

Specialty
Public Health or Welfare
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)

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