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Individual

PROF. WAYNE A POTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
210 S MAIN ST # 1E, SHELBYVILLE, TN 37160-3906
(931) 684-2926
(931) 773-3033
Mailing address
6711 MIDLAND RD, CHRISTIANA, TN 37037-5311
(931) 684-2926
(931) 773-3033

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC479
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0058690
BCBS
TN
Enumeration date
08/16/2007
Last updated
04/17/2023
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