Organization
BEARDEN HEALTHCARE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN D JOHNSON DC (CHIROPRACTIC PHYSICIAN/OWNER)
(865) 584-3565
Entity
Organization
Contact information
Practice address
10321 KINGSTON PIKE, KNOXVILLE, TN 37922-3224
(865) 584-3565
(865) 584-2956
Mailing address
10321 KINGSTON PIKE, KNOXVILLE, TN 37922-3224
(865) 584-3565
(865) 584-2956
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC0000000705
TN
111N00000X
Chiropractor
DC0000000766
TN
207L00000X
Anesthesiology Physician
MD53866
TN
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD53866
TN
207Q00000X
Family Medicine Physician
MD0000016119
TN
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3971651
—
TN
01
—
7379550001
DURABLE MEDICAL EQUIPMENT
TN
Enumeration date
07/09/2006
Last updated
06/05/2017
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