| NPI | 1548654379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDEL EVERETTE WHITEHEAD Doctor Of Chiropractic 615-591-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA CHIR009473) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |