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Organization

PUTNAM COUNTY HEALTH DEPT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KELLEY NYCOLE COLLINS (RN)
(931) 528-2531
Entity
Organization

Contact information

Practice address
121 S DIXIE AVE, COOKEVILLE, TN 38501-3401
(931) 823-3475
Mailing address
121 S DIXIE AVE, COOKEVILLE, TN 38501-3401
(931) 823-3475

Taxonomy

Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
155993
TN

Other

Enumeration date
11/24/2008
Last updated
11/24/2008
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