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Organization
STATE OF TENNESSEE
Active
Organization
STATE OF TENNESSEE
Active
Other names
Gibson County Health Department Humboldt Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN BARNES (REGIONAL DIRECTOR)
(731) 421-6700
Entity
Organization
Contact information
Practice address
149 NORTH 12TH STREET, HUMBOLDT, TN 38343
(731) 784-5491
(731) 784-1726
Mailing address
149 NORTH 12TH STREET, HUMBOLDT, TN 38343
(731) 784-5491
(731) 784-1726
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
Other
Enumeration date
01/11/2007
Last updated
08/25/2010
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