Organization
THREE WAY MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD DALE TEDDLETON D.C. (OWNER/CHIROPRACTOR)
(731) 784-0042
Entity
Organization
Contact information
Practice address
400 US HIGHWAY 45 W, HUMBOLDT, TN 38343-8503
(731) 784-0042
(731) 784-8868
Mailing address
400 US HIGHWAY 45 W, HUMBOLDT, TN 38343-8503
(731) 784-0042
(731) 784-8868
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000000708
TN
Other
Enumeration date
11/29/2011
Last updated
02/13/2012
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