Individual
DR. JONATHAN TRELLIS LASSITER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1305 PICKWICK ST S, SAVANNAH, TN 38372-3506
(731) 925-4251
(731) 925-1664
Mailing address
1305 PICKWICK ST S, SAVANNAH, TN 38372-3506
(731) 925-4251
(731) 925-1664
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000001230
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3014849
BCBS OF TN
TN
Enumeration date
08/03/2005
Last updated
07/08/2007
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