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Organization
STATE OF TENNESSEE
Active
Organization
STATE OF TENNESSEE
Active
Other names
CSS - Southeast Region Department of Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD W MCCARTHY (ACCOUNTING MANAGER)
(423) 634-5832
Entity
Organization
Contact information
Practice address
1301 RIVERFRONT PKWY STE 209, CHATTANOOGA, TN 37402-3312
(423) 634-5832
(423) 634-6087
Mailing address
1301 RIVERFRONT PKWY STE 209, CHATTANOOGA, TN 37402-3312
(423) 634-3124
(423) 634-6087
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
261QR1300X
Rural Health Clinic/Center
—
NULL
Other
Enumeration date
01/31/2007
Last updated
11/21/2022
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