Organization
TENNESSEE REGIONAL CLINIC OF CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK PATRICK WEILAND D.C. (PRESIDENT)
(731) 298-9389
Entity
Organization
Contact information
Practice address
1702 E MAIN ST, HUMBOLDT, TN 38343-2920
(731) 298-9389
Mailing address
1702 E MAIN ST, HUMBOLDT, TN 38343-2920
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6477434
TN
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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