Individual
DR. MOLLY FAYE OSIBANJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
851 W ELK AVE, ELIZABETHTON, TN 37643-2946
(423) 542-2913
Mailing address
851 W ELK AVE, ELIZABETHTON, TN 37643-2946
(423) 542-2913
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3067
TN
Other
Enumeration date
10/04/2017
Last updated
08/26/2019
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