Organization
CRADIC CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI OSBORNE (PATIENT ACCOUNTS)
(423) 913-1299
Entity
Organization
Contact information
Practice address
206 HEADTOWN RD SUITE 100, JONESBOROUGH, TN 37659
(423) 913-1299
(423) 913-1298
Mailing address
206 HEADTOWN RD SUITE 100, JONESBOROUGH, TN 37659
(423) 913-1299
(423) 913-1298
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000001041
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3022069
BLUECROSS BLUESHIELD
TN
Enumeration date
06/18/2007
Last updated
07/11/2007
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