Individual
DR. PATRICK A KOLWAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2465 WHITTEN RD, SUITE 104, MEMPHIS, TN 38133-4722
(901) 386-0811
(901) 386-0812
Mailing address
2465 WHITTEN RD, SUITE 104, MEMPHIS, TN 38133-4722
(901) 386-0811
(901) 386-0812
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
TN1842
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4036773
BCBS
TN
01
—
RR MEDICARE
RR MEDICARE
TN
01
—
U91606
HEALTHSPRINGS
TN
Enumeration date
01/18/2006
Last updated
07/08/2007
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