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Organization

STATE OF TENNESSEE

Active
Other names
Polk County Health Department - Benton
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD W MCCARTHY MBA (ACCOUNTING MANAGER)
(423) 634-5832
Entity
Organization

Contact information

Practice address
2279 PARKSVILLE RD, BENTON, TN 37307-3803
(423) 338-4533
(423) 338-1959
Mailing address
2279 PARKSVILLE RD, BENTON, TN 37307-3803
(423) 338-4533
(423) 338-1959

Taxonomy

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

Other

Enumeration date
01/31/2007
Last updated
02/08/2022
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