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Organization

HAMBLEN COUNTY CHIROPRACTIC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RUSSELL ARVILLE JUSTUS D.C. (CHIROPRACTOR)
(423) 581-4959
Entity
Organization

Contact information

Practice address
2244 W ANDREW JOHNSON HWY, MORRISTOWN, TN 37814
(423) 581-4959
(423) 581-4954
Mailing address
2244 W ANDREW JOHNSON HWY, MORRISTOWN, TN 37814
(423) 581-4959
(423) 581-4954

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1855
TN
332B00000X
Durable Medical Equipment & Medical Supplies
335E00000X
Prosthetic/Orthotic Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3971734
MEDICARE INDIVIDUAL
TN
Enumeration date
05/23/2007
Last updated
02/23/2011
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