| NPI | 1568884781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNI BRAKE WOLLARD Offic Manager 423-928-2251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN DC0000000130) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |