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Individual

JERRY S ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1431 S COLLEGE ST, WINCHESTER, TN 37398-2414
(931) 967-6308
(931) 968-9221
Mailing address
1431 S COLLEGE ST, WINCHESTER, TN 37398-2414
(931) 967-6308
(931) 968-9221

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
491
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0066336
BLUE CROSS
05
3673947
TN
Enumeration date
10/17/2005
Last updated
08/29/2011
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