Organization
CLEVELAND BACK & NECK CLINIC, PLLC
Active
Other names
The Free Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA FREE MCPHERSON D.C. (OWNER)
(423) 478-8989
Entity
Organization
Contact information
Practice address
55 MOUSE CREEK RD NW, CLEVELAND, TN 37312-4840
(423) 479-8989
(423) 478-8992
Mailing address
PO BOX 3604, CLEVELAND, TN 37320-3604
(423) 478-8989
(423) 478-8992
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
TN
208D00000X
General Practice Physician
Primary
—
TN
363L00000X
Nurse Practitioner
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3676963
INDIVIDUAL MEDICAID # DR ANGELA
TN
05
—
3730173
—
TN
01
—
4103176
BCBS
TN
01
—
P00232343
RAILROAD MEDICARE
TN
Enumeration date
02/05/2007
Last updated
06/27/2014
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