| NPI | 1164513461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WARD FROST President 901-850-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2003) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 4972) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2009-01-27 |