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STATE OF TENNESSEE STATE F & A PAYROLL

Medical Equipment Supplier Yellow Pages

Chattanooga, Tennessee

Provider NPI: 1104869486

Organization Information:
Organization Name:  STATE OF TENNESSEE STATE F & A PAYROLL


Practice Location:
100 MOCCASIN BEND RD  CHATTANOOGA, TN 37405 US
Tel: 423-785-3321  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336I0012XSuppliers
Pharmacy
Institutional Pharmacy
Y3336L0003XSuppliers
Pharmacy
TNL2(16)M21051098

Other Provider Identifiers:

IssuerNumberStateType
PK208853301
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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