Organization
ANDERSON COUNTY FAMILY CHIROPRACTIC, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE B BERK DC (OWNER/DOCTOR)
(865) 457-8888
Entity
Organization
Contact information
Practice address
325 S CHARLES G SEIVERS BLVD, CLINTON, TN 37716-3942
(865) 457-8888
(865) 457-8886
Mailing address
325 S CHARLES G SEIVERS BLVD, CLINTON, TN 37716-3942
(865) 457-8888
(865) 457-8886
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC1150
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3678446
MEDICARE GROUP NUMBER
TN
Enumeration date
04/01/2008
Last updated
04/01/2008
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