Organization
TRI-STATE CLINIC OF CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE MATHEY DC (OWNER)
(931) 993-1922
Entity
Organization
Contact information
Practice address
2686 HUNTSVILLE HWY, FAYETTEVILLE, TN 37334-7647
(931) 993-1922
Mailing address
2686 HUNTSVILLE HWY, FAYETTEVILLE, TN 37334-7647
(931) 993-1922
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2700
TN
111N00000X
Chiropractor
2702
TN
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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