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Organization
STATE OF TENNESSEE
Active
Organization
STATE OF TENNESSEE
Active
Other names
West Tennessee Regional Office
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN BARNES (REGIONAL DIRECTOR)
(731) 421-6700
Entity
Organization
Contact information
Practice address
295 SUMMAR DRIVE, JACKSON, TN 38301
(731) 421-6700
(731) 935-7093
Mailing address
295 SUMMAR DRIVE, JACKSON, TN 38301
(731) 421-6700
(731) 935-7093
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
Other
Enumeration date
01/20/2011
Last updated
12/29/2011
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