Organization
BACK PAIN RELIEF CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON L. BONE D.C. (DOCTOR)
(731) 664-6998
Entity
Organization
Contact information
Practice address
2012 GREYSTONE PARK, JACKSON, TN 38305-3575
(731) 664-6998
(731) 664-7161
Mailing address
2012 GREYSTONE SQUARE, JACKSON, TN 38305
(731) 664-6998
(731) 664-7161
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000001772
TN
Other
Enumeration date
06/26/2007
Last updated
03/16/2010
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