# STATE OF TENNESSEE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Robertson County WIC Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831407774
- **Authorized official:** MRS. ANNETTE HALEY (REGIONAL DIRECTOR)
- **Authorized official phone:** (615) 605-7000

## Contact information

- **Practice address:** 900 S BROWN ST, SPRINGFIELD, TN 37172-2921
- **Practice address phone:** (615) 384-0208
- **Practice address fax:** (615) 384-2066
- **Mailing address:** 900 S BROWN ST, SPRINGFIELD, TN 37172-2921
- **Mailing address phone:** (615) 384-0208
- **Mailing address fax:** (615) 384-2066

## Taxonomy

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

## Other

- **Enumeration date:** 09/14/2010
- **Last updated:** 08/28/2012