| NPI | 1104236967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDEL EVERETTE WHITEHEAD Chiropractor 615-591-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2866) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2015-05-13 |