Chiro2med Of Tennessee
Internal Medicine in Cookeville, TN. Organization (NPI-2).
NPI number1295107613
StatusActive
Last updated in NPPESAug 25, 2016
Details
- NPI
- 1295107613
- Entity type
- Organization (NPI-2)
- Legal business name
- Chiro2med Of Tennessee
- Organization subpart
- No
- Enumeration date
- Oct 25, 2015
- Last updated
- Aug 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
750 E Spring StSuite D
Cookeville, TN 38501-4527
Phone 931-526-4084 · Fax 931-526-6801
Mailing address
750 E Spring StSuite D
Cookeville, TN 38501-4527
Phone 931-526-4084 · Fax 931-526-6801
Authorized official
Mitchell Shea
Owner
9315264084
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