Organization
STATE OF TENNESSEE
Active
Other names
Hardeman 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
10825 OLD HWY 64, BOLIVAR, TN 38008
(731) 658-5291
(731) 658-6536
Mailing address
PO BOX 670, 10825 OLD HWY 64, BOLIVAR, TN 38008
(731) 658-5291
(731) 658-6536
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4448066
—
TN
Enumeration date
01/11/2007
Last updated
08/25/2010
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