| NPI | 1144253469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN D JOHNSON Chiropractic Physician/Owner 865-584-3565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN DC0000000705) |
| 111N00000X Chiropractor (Licence: TN DC0000000766) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: TN MD53866) | |
| 207Q00000X Family Medicine (Licence: TN MD0000016119) | |
| 207L00000X Anesthesiology (Licence: TN MD53866) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2017-06-05 |