Individual
RUSSELL C DREYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1812 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5283
(865) 977-0916
(865) 984-3519
Mailing address
1812 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5283
(865) 977-0916
(865) 984-3519
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC1809
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4219772
BCBST
TN
Enumeration date
09/29/2005
Last updated
05/02/2009
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