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Individual

MR. JERRY M WILHOIT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
816 TUSCULUM BLVD, GREENEVILLE, TN 37745-4002
(942) 363-9143
(423) 639-1431
Mailing address
816 TUSCULUM BLVD, GREENEVILLE, TN 37745-4002
(423) 639-1431
(423) 639-0827

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC781
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0125456
BCBST
TN
01
11570
AMERICAN WHOLEHEALTH
TN
05
3675898
TN
Enumeration date
06/06/2006
Last updated
07/08/2007
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