| NPI | 1811252901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE D. FULMER Chiropractic Physician 423-726-2668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1206) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 0000002577) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2019-04-15 |