Organization
LIFE SOURCE CREATING WELLNESS CTR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD M UPCHURCH D.C. (OWNER)
(615) 441-6115
Entity
Organization
Contact information
Practice address
491 HENSLEE DR, DICKSON, TN 37055-2166
(615) 441-6115
(615) 441-5154
Mailing address
491 HENSLEE DR, DICKSON, TN 37055-2166
(615) 441-6115
(615) 441-5154
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1444
TN
Other
Enumeration date
03/20/2009
Last updated
08/03/2016
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