Organization
SMOKY MOUNTAIN NATURAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN BLAKE BORING L. AC. (OWNER)
(865) 296-2955
Entity
Organization
Contact information
Practice address
2211 E BROADWAY AVE, MARYVILLE, TN 37804-3078
(865) 296-2955
Mailing address
2314 TIPTON LOOP RD, MARYVILLE, TN 37803-1855
(865) 296-2955
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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