Healthsource Of Shallowford

NPI 1043584030 - Chiropractor - 111N00000X

NPI Details
NPI 1043584030
Enumeration Date 03/08/2012
Last Updated 06/09/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JACOB JULIUS JACOB
Position OWNER
Phone (423) 475-6438
Fax (423) 475-6407
Practice Location
6102 SHALLOWFORD RD
SUITE 103
CHATTANOOGA TN, 37421-1684, US
Phone (423) 475-6438
Fax (423) 475-6407
Business Location
6102 SHALLOWFORD RD
SUITE 103
CHATTANOOGA TN, 37421-1684, US
Phone (423) 475-6438
Fax (423) 475-6407
Toxanomy
Taxonomy Code 111N00000X
License State
License Number
Remove 1043584030 NPI Number
 

According to our database, Healthsource Of Shallowford NPI is 1043584030, taxonomy code is 111N00000X Healthsource Of Shallowford physically located at 6102 Shallowford Rd, Chattanooga TN, 37421-1684. NPI Number 1033115704 has the healthcare provider type.

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1043584030 NPI number is provided on an as is basis without warranty of any kind. 1043584030 is maintained by the National Plan & Provider Enumeration System. The contents of Healthsource Of Shallowford are for informational purposes only.