Individual
DR. JOEL W DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
25 CORPORATE BLVD, JACKSON, TN 38305-2314
(731) 664-2929
(731) 664-7555
Mailing address
25 CORPORATE BLVD, JACKSON, TN 38305-2314
(731) 664-2929
(731) 664-7555
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC-831
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001997769-02
UNITED HEALTHCARE OF TENN
TN
01
—
1719192
CIGNA
TN
01
—
3154438
BLUE CROSS
TN
01
—
350050083
RAILROAD MEDICARE
TN
01
—
5744028
AETNA
TN
Enumeration date
04/05/2006
Last updated
08/09/2013
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