# STATE OF TENNESSEE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dickson County-White Bluff Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205988144
- **Authorized official:** MRS. ANNETTE HALEY (REGIONAL DIRECTOR)
- **Authorized official phone:** (615) 650-7000

## Contact information

- **Practice address:** 200 SCHOOL RD, WHITE BLUFF, TN 37187-9020
- **Practice address phone:** (615) 797-5056
- **Practice address fax:** (615) 797-5051
- **Mailing address:** 200 SCHOOL RD, WHITE BLUFF, TN 37187-9020
- **Mailing address phone:** (615) 797-5056
- **Mailing address fax:** (615) 797-5051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | TN | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/28/2012