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Dr. Walter Charles Bennett JR.
Chiropractor in Fayetteville, Tennessee
NPI 1164569703

Walter Charles Bennett JR. is a Chiropractor based in Fayetteville, TN. Walter Charles Bennett JR. practices in Fayetteville, TN. The NPI Number for Walter Charles Bennett JR. is 1164569703 and holds a License No. 355160 (Tennessee).

The current practice location address for Walter Charles Bennett JR. is 2310 Thornton Taylor Pkwy Ste C, Fayetteville, TN and can be reached out via phone at 931-251-3009.

Location: 2310 Thornton Taylor Pkwy Ste C, Fayetteville, TN, 37334-3630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164569703
Provider Name
Walter Charles Bennett JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2310 Thornton Taylor Pkwy Ste C, Fayetteville, TN, 37334-3630
Phone Number
931-251-3009
Fax Number
Provider Enumeration Date
01/31/2007
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51507154 01 AL BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2310 Thornton Taylor Pkwy Ste C
City
Fayetteville
State
Tennessee
Zip
37334-3668
Phone Number
931-251-3009
Fax Number
person
Provider Business Mailing Address Details
Address
2310 Thornton Taylor Pkwy Ste C
City
Fayetteville
State
Tennessee
Zip
37334-3668
Phone Number
931-251-3009
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
16762 (Tennessee)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
355160 (New York)
Definition
Definition to come...
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