Organization
STATE OF TENNESSEE
Active
Other names
Giles County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA J WHITWELL (OFFICE SUPERVISOR)
(930) 490-8334
Entity
Organization
Contact information
Practice address
209 S CEDAR LN, PULASKI, TN 38478-3502
(931) 363-5506
(931) 424-7020
Mailing address
209 S CEDAR LN, PULASKI, TN 38478-3502
(931) 363-5506
(931) 424-7020
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007838
BC/BS & TENNCARE SELECT
TN
01
—
3068448
TENNCARE SELECT PCP
TN
05
—
4448007
—
TN
Enumeration date
07/21/2006
Last updated
09/25/2012
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