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Organization

FOUNTAIN CITY CHIROPRACTIC CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES WILLIAM CAWRSE JR. D.C. (OWNER)
(865) 688-1101
Entity
Organization

Contact information

Practice address
305 HOTEL RD, KNOXVILLE, TN 37918-3229
(865) 688-1101
(865) 688-1109
Mailing address
305 HOTEL RD, KNOXVILLE, TN 37918-3229
(865) 688-1101
(865) 688-1109

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
186
TN
111N00000X
Chiropractor
194
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2007703
BLUE CROSS BLUE SHIELD
TN
01
2009917
BLUE CROSS BLUE SHIELD
TN
Enumeration date
05/09/2007
Last updated
08/22/2020
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