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Organization

BALANCED NATURALLY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID M WOOTTON DC (CLINIC OWNER)
(901) 756-2424
Entity
Organization

Contact information

Practice address
7730 WOLF RIVER BLVD, SUITE 112, GERMANTOWN, TN 38138-1708
(901) 756-2424
(901) 756-7504
Mailing address
7730 WOLF RIVER BLVD, SUITE 112, GERMANTOWN, TN 38138-1708
(901) 756-2424

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16459
TN

Other

Enumeration date
03/19/2014
Last updated
03/19/2014
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