| NPI | 1265687917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY G HALL Member 423-499-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: TN 1789) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: TN 1241) |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2008-11-24 |