| NPI | 1063614683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN R PRIDEMORE President 423-928-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN DC00000001297) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-08-29 |