Organization
ADVANCED CARE CHIROPRACTIC AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN DOUGLAS FIELDEN D.C. (CHIROPRACTIC PHYSICIAN)
(423) 929-2225
Entity
Organization
Contact information
Practice address
3043 BOONES CREEK RD STE 107, JOHNSON CITY, TN 37615-4959
(423) 929-2225
(888) 639-0839
Mailing address
3043 BOONES CREEK RD STE 107, JOHNSON CITY, TN 37615-4959
(423) 929-2225
(888) 639-0839
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000001283
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3032514
BLUE CROSS BLUE SHIELD OF TENNESSEE
—
Enumeration date
10/26/2015
Last updated
10/26/2015
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