Organization
COLLEGEDALE PHYSICAL MEDICINE, PLLC
Active
Parent organization
COLLEGEDALE CHIROPRACTIC PLLC
Other names
Collegedale Chiropractic
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLLEGEDALE CHIROPRACTIC PLLC
Authorized official
CHERI MCCORMICK CTA (OFFICE MANAGER)
(423) 238-4118
Entity
Organization
Contact information
Practice address
9457 DAVID SMITH LN STE 103, OOLTEWAH, TN 37363-7201
(423) 238-4118
(423) 238-6565
Mailing address
9457 DAVID SMITH LN STE 103, OOLTEWAH, TN 37363-7201
(423) 238-4118
(423) 238-6565
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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