| NPI | 1932865409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESTON S DOUGLAS Owner/CEO/Chiropractor 423-239-9122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2024-06-05 |