Organization
SOUTHEAST SPINE AND REHAB CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG KOMESHAK D.C. (OWNER)
(865) 577-5757
Entity
Organization
Contact information
Practice address
209 E MOODY AVE, KNOXVILLE, TN 37920-4203
(865) 577-5757
Mailing address
209 E MOODY AVE, KNOXVILLE, TN 37920-4203
(865) 577-5757
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC0000002320
TN
Other
Enumeration date
06/02/2009
Last updated
06/29/2009
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