Individual
CHRISTOPHER A DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
429 WALKER RD, STE B, JACKSON, TN 38305-7419
(731) 592-9352
Mailing address
429 WALKER RD, STE B, JACKSON, TN 38305-7419
(731) 592-9352
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3251
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3251
STATE LICENSE
TN
Enumeration date
01/04/2020
Last updated
06/04/2021
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