Individual
UWEM UDOFIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
76 TABB DR STE C, MUNFORD, TN 38058-8611
(901) 840-2234
Mailing address
76 TABB DR STE C, MUNFORD, TN 38058-8611
(901) 840-2234
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3348
TN
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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