Organization
HEALTHSOURCE OF CLEVELAND PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB J BECKER D.C. (OWNER)
(423) 710-2443
Entity
Organization
Contact information
Practice address
4645 N LEE HWY, CLEVELAND, TN 37312-4042
(423) 710-2443
(423) 475-6407
Mailing address
4645 N LEE HWY, CLEVELAND, TN 37312-4042
(423) 710-2443
(423) 475-6407
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2339
TN
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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