Individual
MR. ROBERT WINSTON PANNELL
Active
Individual
MR. ROBERT WINSTON PANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC0000000340
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020645
BLUE CROSS BLUE SHIELD
TN
Enumeration date
11/10/2006
Last updated
07/08/2007
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