Individual
DR. TED STANLEY SHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2605 JENKINS RD, STE 2, CHATTANOOGA, TN 37421-1177
(423) 855-5053
(423) 855-5856
Mailing address
2605 JENKINS RD, STE 2, CHATTANOOGA, TN 37421-1177
(423) 855-5053
(423) 855-5856
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1534
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4074012
BCBS OF TN
TN
Enumeration date
07/07/2006
Last updated
02/21/2012
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