Organization
ACTIVE FAMILY & SPORTS CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDE AARON MILLER DC, MS (OWNER/CLINIC DIRECTOR)
(865) 248-8167
Entity
Organization
Contact information
Practice address
1260 GALLAHER RD, SUITE B & C, KINGSTON, TN 37763-4139
(865) 382-3014
(865) 248-8215
Mailing address
1260 GALLAHER RD, SUITE B & C, KINGSTON, TN 37763-4139
(865) 248-8167
(865) 248-8215
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2547
TN
261QP2300X
Primary Care Clinic/Center
2547
TN
Other
Enumeration date
10/09/2011
Last updated
03/28/2012
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