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Organization

STATE OF TENNESSEE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIANNE SHARP (STATE ACCOUNTANT)
(865) 546-9221
Entity
Organization

Contact information

Practice address
1660 SILVERADO CT, SEVIERVILLE, TN 37876-4426
(865) 617-7345
Mailing address
1660 SILVERADO CT, SEVIERVILLE, TN 37876-4426
(865) 617-7345

Taxonomy

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

Other

Enumeration date
11/07/2013
Last updated
11/07/2013
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