| NPI | 1265768626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS PHILLIP HAYNES Sole Proprietor 931-380-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN DC584) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN DC582) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |