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Individual

MR. SANFORD LYLE GEISSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
650 S. MOUNT JULIET RD, SUITE 105, MOUNT JULIET, TN 37122
(615) 288-4823
(615) 288-4921
Mailing address
650 S. MOUNT JULIET RD, SUITE 105, MOUNT JULIET, TN 37122
(615) 288-4823
(615) 288-4921

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000001381
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4025433
BLUE CROSS PROVIDER NUMBE
TN
Enumeration date
02/09/2006
Last updated
08/06/2015
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