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Organization
SULACK HEALTH & WELLNESS PLLC
Active
Organization
SULACK HEALTH & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY CHAVEZ (PRACTICE CONSULTANT)
(865) 927-6372
Entity
Organization
Contact information
Practice address
713 E EMORY RD STE 103, KNOXVILLE, TN 37938-4685
(865) 938-1070
(865) 938-1071
Mailing address
713 E EMORY RD STE 103, KNOXVILLE, TN 37938-4685
(865) 938-1070
(865) 938-1071
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
174N00000X
Lactation Consultant (Non-RN)
—
NULL
174N00000X
Lactation Consultant (Non-RN)
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/14/2019
Last updated
01/28/2019
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