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Individual

DR. TREA CANDACE WESSEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
824 MCMINNVILLE HWY, WOODBURY, TN 37190-1241
(615) 563-3320
(615) 563-3325
Mailing address
824 MCMINNVILLE HWY, WOODBURY, TN 37190-1241
(615) 563-3320
(615) 563-3325

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1914
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3973145
TN
01
4079721
BLUE CROSS/BLUE SHIELD
TN
01
5356224
CIGNA
TN
01
668746
ACN
TN
01
9358134
PRIVATE HEALTHCARE SYSTEM
TN
Enumeration date
09/27/2006
Last updated
07/08/2007
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