Individual
MARK TYLER EDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1229 DINAH SHORE BLVD, WINCHESTER, TN 37398-1135
(931) 967-4199
(931) 967-4099
Mailing address
1229 DINAH SHORE BLVD, WINCHESTER, TN 37398-1135
(931) 967-4199
(931) 967-4099
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2936
TN
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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