Organization
PEEKS CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNI BRAKE WOLLARD (OFFIC MANAGER)
(423) 928-2251
Entity
Organization
Contact information
Practice address
401 N BOONE ST, JOHNSON CITY, TN 37604-5607
(423) 928-2251
(423) 928-2002
Mailing address
401 N BOONE ST, JOHNSON CITY, TN 37604-5607
(423) 928-2251
(423) 928-2002
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000000130
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014254
BLUE CROSS BLUE SHIELD
TN
05
—
1504300
—
TN
Enumeration date
01/07/2014
Last updated
01/07/2014
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