Individual
DR. JERRY ALLEN PRICE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3901 FORT HENRY DR, KINGSPORT, TN 37663-2025
(423) 239-4311
(423) 239-3107
Mailing address
PO BOX 5958, KINGSPORT, TN 37663-0958
(423) 239-4311
(423) 239-3107
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1479
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3114118
BLUE CROSS BLUE SHIELD
TN
01
—
5949771
AETNA
TN
Enumeration date
10/18/2006
Last updated
07/08/2007
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