Organization
MEMPHIS REGENERATIVE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SMITH (OWNER)
(901) 237-0484
Entity
Organization
Contact information
Practice address
7981 DEXTER RD STE 101, CORDOVA, TN 38016-8798
(901) 237-0484
(901) 794-0854
Mailing address
7981 DEXTER RD STE 101, CORDOVA, TN 38016-8798
(901) 237-0484
(901) 794-0854
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1147
TN LICENSE
UT
Enumeration date
10/17/2019
Last updated
10/18/2019
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