| NPI | 1376216853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ALLEN DOUGLAS Clinic Director/Owner 731-736-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2021-07-29 |