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Organization

STATE OF TENNESSEEE

Active
Other names
Decatur County Health Department
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARILYN BARNES (REGIONAL DIRECTOR)
(731) 421-6700
Entity
Organization

Contact information

Practice address
155 NORTH PLEASANT STREET, DECATURVILLE, TN 38329
(731) 852-2461
(731) 852-3794
Mailing address
PO BOX 178, 155 NORTH PLEASANT STREET, DECATURVILLE, TN 38329
(731) 852-2461
(731) 852-3794

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4448122
TN
Enumeration date
01/11/2007
Last updated
08/25/2010
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