Organization
SELF HEALTH AND WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL SELF JR. DC, CERT. A/P (BUS. OWNER/CHIROPRACTIC PHYSICIAN)
(865) 687-7600
Entity
Organization
Contact information
Practice address
115 GRESHAM RD, KNOXVILLE, TN 37918-3209
(865) 687-7600
Mailing address
115 GRESHAM RD, KNOXVILLE, TN 37918-3209
(865) 687-7600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0000001403
TN
Other
Enumeration date
08/11/2007
Last updated
08/11/2007
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