Individual
DR. JEREMY WAYNE GATLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1800 SAINT JOHN AVE, DYERSBURG, TN 38024-2116
(731) 288-9628
(731) 288-9653
Mailing address
1800 SAINT JOHN AVE, DYERSBURG, TN 38024-2116
(731) 288-9628
(731) 288-9653
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1900
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143272
UNISON
TN
05
—
3972980
—
TN
01
—
4054385
BLUE CROSS BLUE SHIELD
TN
01
—
4158534
CIGNA
TN
01
—
7518458
AETNA
TN
Enumeration date
06/19/2006
Last updated
09/19/2013
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