NPI | 1215190194 |
---|---|
Entity Type | Organization |
Authorized Contact | HUNTER ALLEN EVANS Member 615-771-0722 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2229) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TN 2229) |
Enumeration Date | 2008-07-09 |
Last Update Date | 2012-12-05 |