| NPI | 1235644915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS SHARP Director 615-559-5226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2018-02-07 |