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Organization
BOOMERSHINE WELLNESS CENTERS, PLC
Active
Organization
BOOMERSHINE WELLNESS CENTERS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD STEPHEN BOOMERSHINE M.D., PH.D. (CHIEF MANAGER)
(615) 435-3235
Entity
Organization
Contact information
Practice address
330 MALLORY STATION RD, SUITE E-15, FRANKLIN, TN 37067-2859
(615) 435-3235
(615) 435-3275
Mailing address
330 MALLORY STATION RD, SUITE E-15, FRANKLIN, TN 37067-2859
(615) 435-3235
(615) 435-3275
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
38402
TN
Other
Enumeration date
05/22/2011
Last updated
11/21/2011
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