The birthplace of country and blues has become far more than the agrarian state it once was. Tennessee's major urban centers are important cities with significant economies. And Tennessee fully supports economic growth and development -- which may be why it doesn't impose too much regulation on business. Unlike many states, Tennessee gives counties and cities significant leeway to decide on their own regulations -- often making state licenses required only at the discretion of local jurisdictions.
In Tennessee, medical Practices are among the simplest of healthcare business. However, like any facility that gives medical treatment, states and local governments care that patients get safe, clean treatment. Licenses are often required not only for practices themselves, but for medical waste disposal.