Organization
MILLER CHIROPRACTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE PENICK (OFFICE MANAGER)
(615) 239-0758
Entity
Organization
Contact information
Practice address
885 CONFERENCE DR STE 300, GOODLETTSVILLE, TN 37072-2082
(615) 239-0758
Mailing address
885 CONFERENCE DR STE 300, GOODLETTSVILLE, TN 37072-2082
(615) 239-0758
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2544
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103G703687
PTAN
TN
Enumeration date
03/30/2007
Last updated
11/10/2023
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