# STATE OF TENNESSEE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356770531
- **Authorized official:** MARIANNE SHARP (STATE ACCOUNTANT)
- **Authorized official phone:** (865) 546-9221

## Contact information

- **Practice address:** 1660 SILVERADO CT, SEVIERVILLE, TN 37876-4426
- **Practice address phone:** (865) 617-7345
- **Mailing address:** 1660 SILVERADO CT, SEVIERVILLE, TN 37876-4426
- **Mailing address phone:** (865) 617-7345

## Taxonomy

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

## Other

- **Enumeration date:** 11/07/2013
- **Last updated:** 11/07/2013