| NPI | 1821292442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH C. BIRDWELL Registered Agent 865-982-0802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN DC0000000136) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2008-11-06 |