Individual
DR. MARK MENDOZA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
336 SUMNER HALL DR, GALLATIN, TN 37066-3129
(615) 452-5479
(615) 452-8919
Mailing address
336 SUMNER HALL DR, GALLATIN, TN 37066-3129
(615) 452-5479
(615) 452-8919
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000001969
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3730861
—
TN
01
—
419257
BLUE CROSS BLUE SHIELD
TN
01
—
V03713
HEALTHSPRING
TN
Enumeration date
02/23/2006
Last updated
07/08/2007
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