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Shannon Wade Myers, DC
Chiropractor in Johnson City, Tennessee
NPI 1982622601

Shannon Wade Myers is a Chiropractor based in Johnson City, TN. Shannon Wade Myers practices in Johnson City, TN and has the professional credentials of DC. The NPI Number for Shannon Wade Myers is 1982622601 and holds a License No. 2000 (Tennessee).

The current practice location address for Shannon Wade Myers is 111 Broyles St, Johnson City, TN and can be reached out via phone at 423-610-0005 and via fax at 423-610-0009.

Location: 111 Broyles St, Johnson City, TN, 37604-3473
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982622601
Provider Name
Shannon Wade Myers
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
111 Broyles St, Johnson City, TN, 37604-3473
Phone Number
423-610-0005
Fax Number
423-610-0009
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4091317 01 TN BLUE CROSS BLUE SHIELD
1407012495 01 TN GROUP NPI
1982622601 01 TN INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
111 Broyles St
City
Johnson City
State
Tennessee
Zip
37601-2532
Phone Number
423-610-0005
Fax Number
423-610-0009
person
Provider Business Mailing Address Details
Address
111 Broyles St
City
Johnson City
State
Tennessee
Zip
37601-2532
Phone Number
423-610-0005
Fax Number
423-610-0009
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2000 (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.
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