Individual
TANNER MAZOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1633 W MAIN ST STE 401, LEBANON, TN 37087-7804
(615) 444-2234
Mailing address
1633 W MAIN ST STE 401, LEBANON, TN 37087-7804
(402) 741-2857
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3592
TN
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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