Individual
MR. NATHANIEL LEE MAINORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
425 E BROAD ST, SUITE C, COOKEVILLE, TN 38501-3387
(931) 651-1390
Mailing address
425 E BROAD ST, SUITE C, COOKEVILLE, TN 38501-3387
(931) 651-1390
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2533
TN
Other
Enumeration date
09/21/2011
Last updated
10/23/2013
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