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Organization

EASTERN STAR LLC

Active
Other names
Wellspring Family Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES WADE BOLTON D.C. (CHIROPRACTOR (OWNER))
(931) 528-5284
Entity
Organization

Contact information

Practice address
280 S JEFFERSON AVE, COOKEVILLE, TN 38501-3453
(931) 528-5284
(931) 520-1870
Mailing address
280 S JEFFERSON AVE, COOKEVILLE, TN 38501-3453
(931) 528-5284
(931) 520-1870

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2108
TN

Other

Enumeration date
06/22/2007
Last updated
08/22/2020
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