Organization
CENTER FOR PHYSICAL MEDICINE
Active
Other names
CENTER FOR PHYSICAL MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ERIC DEATON D.C. (OWNER)
(931) 438-0611
Entity
Organization
Contact information
Practice address
1822 HUNTSVILLE HWY STE D, FAYETTEVILLE, TN 37334-3788
(931) 438-0611
(931) 438-0622
Mailing address
1822 HUNTSVILLE HWY STE D, FAYETTEVILLE, TN 37334-3788
(931) 438-0611
(931) 438-0622
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1277
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3120641
BCBS OF TN
TN
01
—
DD4186
RAILROAD MEDICARE
TN
Enumeration date
03/25/2008
Last updated
07/10/2012
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