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1366909822
SOUTHERN SPINE AND SPORT LLC
MOUNT JULIET, TN
NPI
1366909822
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Entity Type
Organization
Authorized Contact
DANIEL HOLLAND
Head Clinician
615-758-6422
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2019-02-20
Last Update Date
2019-02-20
Business Address
SOUTHERN SPINE AND SPORT LLC
2530 N MOUNT JULIET RD
MOUNT JULIET, TN 37122-3007
Phone number: 615-758-6422
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Mailing Address
SOUTHERN SPINE AND SPORT LLC
3055 KIRKLAND CIR
MOUNT JULIET, TN 37122-8549
Phone number: 615-758-6422
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