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Organization

ILLUMINATE CHIROPRACTIC

Active
Other names
Illuminate Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
LONI MARIE MCCLELLAN (OWNER)
(615) 606-2023
Entity
Organization

Contact information

Practice address
810 DOMINICAN DR STE 106, NASHVILLE, TN 37228-1906
(615) 606-2023
Mailing address
810 DOMINICAN DR STE 106, NASHVILLE, TN 37228-1906
(615) 606-2023

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
12/19/2018
Last updated
10/07/2020
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