Individual
MS. TINA ROXANNE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
664 SANGO RD, CLARKSVILLE, TN 37043
(931) 368-1996
(931) 368-0448
Mailing address
664 SANGO RD., CLARKSVILLE, TN 37043
(931) 368-1996
(931) 368-0448
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000001775
TN
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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