Organization
NEW LIFE CHIROPRACTIC AND WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WILSON DC (PRESIDENT/CHIROPRACTOR)
(931) 249-5467
Entity
Organization
Contact information
Practice address
514 E WATAUGA AVE, JOHNSON CITY, TN 37601-4039
(423) 928-4101
Mailing address
514 E WATAUGA AVE, JOHNSON CITY, TN 37601-4039
(423) 928-4101
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
DC0000002591
TN
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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