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Southern Spine And Sport Llc
Chiropractor in Mount Juliet, Tennessee
NPI 1366909822

Southern Spine And Sport Llc is a Chiropractor based in Mount Juliet, TN. Southern Spine And Sport Llc practices in Mount Juliet, TN. The NPI Number for Southern Spine And Sport Llc is 1366909822 and holds a License No. (Tennessee).

The current practice location address for Southern Spine And Sport Llc is 2530 N Mount Juliet Rd, Mount Juliet, TN and can be reached out via phone at 615-758-6422 and via fax at 615-758-6422.

Location: 2530 N Mount Juliet Rd, Mount Juliet, TN, 37122-8549
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366909822
Provider Name
Southern Spine And Sport Llc
Credential
Provider Entity Type
Organization
Address
2530 N Mount Juliet Rd, Mount Juliet, TN, 37122-8549
Phone Number
615-758-6422
Fax Number
615-758-6422
Provider Enumeration Date
02/20/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4257004 01 TN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2530 N Mount Juliet Rd
City
Mount Juliet
State
Tennessee
Zip
37122-3007
Phone Number
615-758-6422
Fax Number
615-758-6422
person
Provider Business Mailing Address Details
Address
2530 N Mount Juliet Rd
City
Mount Juliet
State
Tennessee
Zip
37122-3007
Phone Number
615-758-6422
Fax Number
615-758-6422
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
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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.
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