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Organization

STATE OF TENNESSEE

Active
Other names
Sullivan County Health Department
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY MAYES (REGIONAL DIRECTOR)
(423) 279-2777
Entity
Organization

Contact information

Practice address
HIGHWAY 126, BLOUNTVILLE, TN 37617
(423) 279-2777
(423) 279-2797
Mailing address
PO BOX 630, BLOUNTVILLE, TN 37617-0630
(423) 279-2777
(423) 279-2797

Taxonomy

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

Other

Enumeration date
05/09/2008
Last updated
05/21/2008
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