Organization
SPECIALIZED CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GREGORY HAWK DC (OWNER)
(865) 769-9190
Entity
Organization
Contact information
Practice address
6519 NIGHTINGALE LN, KNOXVILLE, TN 37909-2753
(865) 769-9190
Mailing address
PO BOX 51784, KNOXVILLE, TN 37950-1784
(865) 769-9190
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC1828
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000009266391
CPID
TN
01
—
000810443888
PHCS
TN
01
—
10834595
CAQH
TN
01
—
10834598
GREAT WEST
TN
01
—
4025407
BCBS
TN
Enumeration date
04/20/2009
Last updated
05/13/2009
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