Organization
BEARDEN CHIROPRACTIC CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A SHREVE D.C. (OWNER)
(865) 584-7246
Entity
Organization
Contact information
Practice address
6725 PAPERMILL DR, KNOXVILLE, TN 37919-4837
(865) 584-7246
(865) 584-7375
Mailing address
6725 PAPERMILL DR, KNOXVILLE, TN 37919-4837
(865) 584-7246
(865) 584-7375
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000000221
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3671922
MEDICARE PTAN
TN
Enumeration date
07/02/2012
Last updated
07/02/2012
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