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Organization

TENNESSEE DEPT OF HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BRENDA K THOMAS RN (SUPERVISOR)
(615) 735-0242
Entity
Organization

Contact information

Practice address
251 JOY ALFORD WAY, CARTHAGE, TN 37030-3047
(615) 735-0242
(615) 735-8250
Mailing address
251 JOY ALFORD WAY, CARTHAGE, TN 37030-3047
(615) 735-0242
(615) 735-8250

Taxonomy

Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
137324
TN

Other

Enumeration date
01/06/2011
Last updated
01/06/2011
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