Individual
CHARLES AMBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
541 N MOUNT JULIET RD, SUITE 2101, MOUNT JULIET, TN 37122-3873
(615) 758-7101
Mailing address
541 N MOUNT JULIET RD, SUITE 2101, MOUNT JULIET, TN 37122-3873
(615) 758-7101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2799
TN
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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