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Organization

JOHNSON CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARTHA MANSO (OFFICE MANAGER)
(901) 767-6727
Entity
Organization

Contact information

Practice address
5695 QUINCE RD, MEMPHIS, TN 38119-7017
(901) 767-6727
(901) 767-5460
Mailing address
5695 QUINCE RD, MEMPHIS, TN 38119-7017
(901) 767-6727
(901) 767-5460

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC1317
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3678666
TN
Enumeration date
08/28/2014
Last updated
08/28/2014
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