Individual
DR. FRED RAYMOND LOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
306 SUNSET DR STE 100, JOHNSON CITY, TN 37604-2492
(423) 926-8304
(423) 926-5976
Mailing address
306 SUNSET DR STE 100, JOHNSON CITY, TN 37604-2492
(423) 926-8304
(423) 926-5976
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3830
TN
Other
Enumeration date
06/11/2024
Last updated
06/13/2024
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