Organization
DURHAM CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL W. DURHAM DC (OWNER CHIROPRACTOR)
(731) 664-2929
Entity
Organization
Contact information
Practice address
25 CORPORATE BLVD, JACKSON, TN 38305-2314
(731) 664-2929
Mailing address
25 CORPORATE BLVD, JACKSON, TN 38305-2314
(731) 664-2929
(731) 664-7555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2632
TN
111N00000X
Chiropractor
Primary
467
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I353876
PTAN
TN
01
—
3676936
PTAN
TN
Enumeration date
08/22/2014
Last updated
08/22/2014
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