Organization
PROVIDENCE III, LLC
Active
Other names
Well Health & Chiropractic Lebanon
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY MASON (GENERAL MANAGER)
(615) 715-1823
Entity
Organization
Contact information
Practice address
443 HWY 109, SUITE 103, LEBANON, TN 37090
(615) 715-1823
Mailing address
5512 OLD HICKORY BLVD, HERMITAGE, TN 37076-2576
(615) 942-7282
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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