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Organization

BOOMERSHINE WELLNESS CENTERS, PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHAD STEPHEN BOOMERSHINE M.D., PH.D. (CHIEF MANAGER)
(615) 435-3235
Entity
Organization

Contact information

Practice address
330 MALLORY STATION RD, SUITE E-15, FRANKLIN, TN 37067-2859
(615) 435-3235
(615) 435-3275
Mailing address
330 MALLORY STATION RD, SUITE E-15, FRANKLIN, TN 37067-2859
(615) 435-3235
(615) 435-3275

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
38402
TN

Other

Enumeration date
05/22/2011
Last updated
11/21/2011
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