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Organization

STATE OF TENNESSEE

Active
Other names
CSS - Southeast Region Department of Health
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD W MCCARTHY (ACCOUNTING MANAGER)
(423) 634-5832
Entity
Organization

Contact information

Practice address
1301 RIVERFRONT PKWY STE 209, CHATTANOOGA, TN 37402-3312
(423) 634-5832
(423) 634-6087
Mailing address
1301 RIVERFRONT PKWY STE 209, CHATTANOOGA, TN 37402-3312
(423) 634-3124
(423) 634-6087

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
261QR1300X
Rural Health Clinic/Center

Other

Enumeration date
01/31/2007
Last updated
11/21/2022
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