Organization
ADVANCED MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY BRAGG DC (OWNER)
(865) 986-8600
Entity
Organization
Contact information
Practice address
615 LEEPER PARKWAY, LENOIR CITY, TN 37772-6151
(865) 986-8600
(865) 986-0961
Mailing address
615 LEEPER PARKWAY, LENOIR CITY, TN 37772-6151
(865) 986-8600
(865) 986-0961
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
178
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510839
—
TN
Enumeration date
06/09/2006
Last updated
07/15/2009
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