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Organization

SULACK HEALTH & WELLNESS PLLC

Active
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Organization

SULACK HEALTH & WELLNESS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY CHAVEZ (PRACTICE CONSULTANT)
(865) 927-6372
Entity
Organization

Contact information

Practice address
713 E EMORY RD STE 103, KNOXVILLE, TN 37938-4685
(865) 938-1070
(865) 938-1071
Mailing address
713 E EMORY RD STE 103, KNOXVILLE, TN 37938-4685
(865) 938-1070
(865) 938-1071

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
174N00000X
Lactation Consultant (Non-RN)
208000000X
Pediatrics Physician
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
01/14/2019
Last updated
01/28/2019
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